逆行隐神经岛状皮瓣的临床应用

目的 报告逆行隐神经岛状皮瓣的临床应用结果。方法 应用这种技术修复6例足跟部软组织缺损,切取的皮瓣面积为4cm×6 cm至7cm×10 cm。结果 所有的皮瓣完全成活,取得了满意的效果。1例术后4d发生表浅感染,经换药愈合。结论 大隐静脉、隐神经和伴行的动脉网是该皮瓣的轴,该皮瓣具有血管解剖恒定、血管蒂长和操作简单等优点,而且较薄,适宜修复足部软组织缺损。

Clinical application of insular skin flap of the reversed saphenous nerves

Objective:To report the clinical Results of the application of insular flap of reversed saphe-nous nerves. Methods:6 patients with foot soft tissue defect were repaired by this technique. The sizes of the insular flap of reversed saphenous nerves used,ranged from 4 cm×6 cm to 7 cm×10 cm. Results:All the flaps were survived completely with satisfactory results. One case sustained superficial infection 4 days after operation. The infection was healed by medical dressing changes.Conclusion:The greater saphenous vein,saphenous nerve and associated arterial network are the axis of the flap. The flap seems to have a constant vascular anas-tomy and a long vascular pedicle,so that dissection of the flap could be accomplished easily. The flap is thin and suitable for repair of soft tiussue defect of the foot.