腓肠浅动脉逆行岛状筋膜皮瓣的临床应用

目的　证实腓肠浅动脉逆行岛状筋膜皮瓣修复小腿下段及足部皮肤软组织缺损的可行性。方法　在小腿后侧设计及切取腓肠浅动脉岛状筋膜皮瓣 ,逆行移转修复 15例小腿下段及足部皮肤软组织缺损。皮瓣最大面积 10cm× 8cm ,最小 5cm× 4cm。结果　 15例筋膜皮瓣全部成活 ,经 6～ 18个月的随访 ,效果良好。结论　腓肠浅动脉逆行岛状筋膜皮瓣血供可靠 ,不牺牲知名动脉 ,操作简便 ,为修复小腿下段及足部皮肤软组织缺损提供了一个新方法。

The clinical application of the reverse island skin flap supplied by the superficial sural artery

OBJECTIVE: To conform the reliability of the reverse island skin flap supplied by the superficial sural artery in clinical applications. METHODS: The distally based superficial sural artery flap was designed on the posterior aspect of the leg. 15 patients were treated with this flap, who had soft-tissue shortage of the lower third of the leg, the foot or the heel. The size of the flap ranged from 10 cm x 8 cm to 5 cm x 4 cm. RESULTS: All flaps survived. The results were satisfactory after 6 to 18 months' postoperative follow-up. CONCLUSIONS: The blood supply of this flap is reliable without sacrificing the major arteries. Flap elevation is easy and quick. This flap may provide a new method in reconstructioning the soft-tissue shortage of the lower leg, the foot and the heel.