带腓肠神经营养血管蒂逆行岛状筋膜皮瓣的临床应用

目的：探讨小腿下端、足跟及足背、足底创面的修复办法。方法：应用蒂在远端的腓肠神经营养血管筋膜皮瓣修复创面,其中,创伤14例,慢性溃疡4例,瘢痕2例,皮瓣面积最大16cm×12cm,最小6cm×6cm。结果：20例皮瓣全部成活,1例远端部分坏死,经换药、清创、游离植皮后愈合,所有软组织缺损均得到修复、覆盖,随访3个月～3年,平均1.5年,皮瓣愈合良好,外观满意。结论：该皮瓣血运可靠,设计及手术操作简便,不损伤小腿的主要血管,可满意修复足跟、足背、内外踝及小腿下1/3软组织缺损。

Reversed sural neurovascular fascio cutaneous island flap in clinical application

Objective：To explore crus bottom,sufficient with and foot dorsum,foot wound repair methods.Methods：Applicated in distant sural bowel＇s nerve nutrient vessels fascial flap to repair the wound,Included trauma 14 cases,chronic ulcer 4 cases,scar in 2 cases,the largest flap area was 16 cm×12 cm,minimum 6 cm × 6 cm.Results：Twenty patients＇ flap all survived,1 patient suffered with distal skin flap necrosis.After treatment,debridement,free graft,all healed.All soft tissue defect repaired,averaged,almost covered.Followed-up of 3 months to 3 years,average 1.5 years,flap healed well,satisfactory appearance.Conclusion：The flap reliable blood supply,design and operation simple,no damage to the main blood vessels,the calf can satisfied repair sufficient with and foot dorsum,inside WaiHuai and crus under 1/3 tissue defect.