小腿皮神经营养血管皮瓣的临床应用

目的探讨小腿皮神经营养血管皮瓣修复下肢软组织缺损的临床效果。方法自2007年1月至2013年1月应用小腿皮神经营养血管皮瓣修复组织缺损48例。其中腓肠神经营养血管皮瓣共22例，腓浅神经营养血管皮瓣共15例，隐神经营养血管皮瓣11例。结果移位皮瓣成活95．83％（46例），部分坏死4．26％（2例）。结论小腿皮神经营养血管皮瓣是一种新型、简便、实用的软组织缺损修复方法，利于临床推广应用。

Clinical Application of Theleg Neurocutaneous Vascular Flap

Objective To explore clinic effects of the leg neurocutaneous vascular flap on soft tissue defects of lower extremity. Methods From 2007 to 2013, 48 patients with soft tissue defects were treated with the leg neurocutaneous vascular flap,including sural neurocutaneous vascular flaps （22 cases）, peroneus superficialis neurocutanous vascular flaps （15 cases）, and saphenus neurocutanous vascular flaps （11 cases）. Rosults For 46 cases （95.83%）, flaps survived well, except 2 cases of treatment failures. Conclusions The leg neurocutaneous vascular flap was feasible treatment for soft tissue defects of extremities.