低旋转点逆行腓肠神经营养血管皮瓣的临床应用

目的 探讨应用低旋转点腓肠神经营养血管逆行皮瓣修复踝足部软组织缺损的临床效果.方法 2006年5月至2008年2月根据损伤的部位、形状、面积设计腓肠神经营养血管修复22例22处损伤创面.结果 术后22例22处皮瓣全部成活,所有患者均获6～12个月随访,皮瓣外形满意,患肢正常步态行走,皮瓣耐磨,无溃疡发生,有痛觉,两点辨别觉为6～10 mm. 结论低旋转点腓肠神经营养血管逆行皮瓣皮肤质量较好,切取简便,供皮面积较大,成活率高且不牺牲主干血管,是修复足踝部较大面积皮肤缺损的一种理想供区.

Clinical application of lower rotating point sural neurocutaneous vascular

Objective To explore the clinical effect of the lower rotating point sural neurocutaneous vascular flap on the repair of the soft tissue defects in the ankle and foot.Methods From May 2006 to February 2008,according to site,shape and area of the wounded ankle and foot,we designed the lower rotating point sural neurocutaneous vascular flap of ankle and foot.Results All the 22 flaps in 22 patients survived with a satisfactory appearance and a good function.All cases were followed up for 6-12 months.The color ...