腓肠神经营养血管逆行岛状皮瓣修复内踝皮肤缺损的临床观察

目的探讨腓肠神经营养血管逆行岛状皮瓣修复术对内踝皮肤缺损的疗效。方法将2012年2月2013年2月我院内踝皮肤缺损患者36例分为两组各18例，观察纽行腓肠神经营养血管逆行岛状皮瓣修复术，对照组行邻近皮瓣修复术，对比两组术后皮瓣成活情况。结果观察组成活率明显高于对照组，坏死率显著低于对照组，下床平均所用时间、平均住院时间少于对照组，差异有统计学意义（P〈0．05）。结论腓肠神经营养血管逆行岛状皮瓣修复术治疗内踝皮肤缺损患者可取良效，术后坏死情况通过及时对症处理能有效治愈。

Sural neurovascular island flap to repair the skin defect of medial malleolus

Objective To investigate the effect of repair of reversed island flap pedicled with nutrient vessels of sural nerve in treatment of medial malleolus skin defects. Methods Chosed 36 patients with skin defect from February 2012 to February 2013 in our hospital, with the families and the patients agreed and signed the informed consent, 36 patients were divided into observation group（18 cases） and control group（18 cases）, observation group with repair underwent sural neurocutaneous island flap, control group with adjacent flap repair, compared postoperative flap survival in two groups. Results The survival rate of observation group was significantly higher than control group, the necrosis rate was significantly lower than control group（P〈0.05）~ the average time to get out of bed in control group, the average hospitalization time was lower than observation group（P〈0.05）. Conclusion Repair of reversed island flap pedicled with nutrient vessels of sural nerve by patients with medial malleolusskin defect, can obtain good effect, postoperative necrosis through timely symptomatic treatment can effectively cure.