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腓动脉终末穿支蒂腓肠神经皮瓣修复足踝部软组织缺损
引用本文:冯鹏,侯书健,刘亚平,赵英波. 腓动脉终末穿支蒂腓肠神经皮瓣修复足踝部软组织缺损[J]. 实用医药杂志(山东), 2010, 27(2): 108-109
作者姓名:冯鹏  侯书健  刘亚平  赵英波
作者单位:401医院全军手外科中心,山东青岛266071
摘    要:目的探讨以腓动脉终末穿支为血供的腓肠神经营养血管(肌)皮瓣修复足踝部骨外露并软组织缺损的临床效果。方法对足踝部不同原因所致的骨及软组织缺损患者,设计切取以腓动脉终末穿支远端为蒂的腓肠神经营养血管(肌)皮瓣,以外踝尖上1~3cm处为皮瓣反折点,根据创面的大小设计皮瓣切取范围,切取皮瓣旋转覆盖创面。结果本组共38例,小腿远端25例,足跟部8例,足踝部5例,皮瓣最大面积20cm×10cm,最小3cm×2cm。除1例皮瓣因供区皮肤有挫伤而致皮瓣边沿部分坏死外,其余皮瓣全部成活。经1~5年的随访,治疗效果满意。结论应用远端蒂腓肠神经营养血管皮瓣修复小腿远端及足踝部创伤性骨外露并软组织缺损,伴有死腔者,可一并切取携带腓肠肌肉的皮瓣,有良好的充填死腔作用,皮瓣血供可靠,切取转移方便,操作简单,是修复足踝部皮肤缺损的理想皮瓣。

关 键 词:腓肠神经营养血管皮瓣  腓动脉穿支  移植  软组织损伤

Peroneal perforator-based sural neurovascular fasciocutaneous island flap for repairing soft tissue defects in ankle and foot
FENG+Peng,HOU+SHu-jian,LIU+Ya-ping,et+al. Peroneal perforator-based sural neurovascular fasciocutaneous island flap for repairing soft tissue defects in ankle and foot[J]. Practical Journal of Medicine & Pharmacy, 2010, 27(2): 108-109
Authors:FENG+Peng  HOU+SHu-jian  LIU+Ya-ping  et+al
Affiliation:FENG+Peng,HOU+SHu-jian,LIU+Ya-ping,et+al.Department+of+H,+Surgery,the+401st+Hospital+of+PLA,Qingdao,SH,ong+266071,China
Abstract:Objective To investigate the clinical results of repairing the soft tissue defects and bone exposure of ankle and foot with peroneal perforator-based sural neurovascular (neuromuscle) fasciocutaneous flap.Method For the patients with soft tissue defects and bone exposure of ankle and foot,peroneal perforator-based sural neurovascular (neuromuscle) fasciocutaneous flap was designed with reverse upper extramalleolus 1-3cm and according to the location of skin defect the flap was designed and incised.Result Th...
Keywords:Sural neurofasciocutaneous flap  Peroneal perforator transplantation  Soft tissue defect  
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