腓肠神经营养血管逆行岛状筋膜皮瓣的临床应用

目的:探讨腓肠神经营养血管蒂逆行岛状筋膜皮瓣修复小腿下段、踝部、足部软组织缺损的方法。方法:应用腓肠神经营养血管蒂逆行岛状筋膜皮瓣修复小腿下段、踝部、足部软组织缺损16例,其中低旋转点7例,皮瓣切取范围5 cm×7 cm至18 cm×14 cm,蒂长5~16 cm。结果:14例皮瓣全部成活,2例皮瓣远端边缘部分坏死,经清创换药后创面游离植皮愈合;术后随访14例,皮瓣外观、质地、弹性佳,踝关节功能恢复良好。结论:腓肠神经营养血管逆行岛状筋膜血供可靠,成功率高,操作简单,不损伤主要血管,且降低旋转,能修复足中端远端创伤,是修复小腿下段、踝、足部皮肤软组织缺损的较好方法。

Clinical application of reversed sural neurovascular fasciocutaneous island flap

Objective：To explore the clinical application of sural neurovasculr pedicle faseioeutaneous reversed island flap in repairing soft-tissue defection in the inferior segment of the leg, ankle and foot. Methods： Sixteen eases of soft-tissue defects in the ankle and foot were repaired using sural neurovaseular faseioeutaneous reversed island flap. The flap area ranged from 5 cm ×7 cm to 18 cm × 14 cm and the length of the pedicle 5 cm to 16 era. Results：All the 14 flaps survived. The distal part necrosed partially in 2 cases and healed after secondary free-skin grafting. All the ceases were followed up for 3 to 6 months. The contour appearance, color and tenacity of the flaps were excellent;the function of the ankle joints was good. Conclusions：The sural neurovaseulr pediele faseioeutaneous reversed island flap has a reliable blood supply. It is easy to operate and has a high survival rate,with no harm to the major arteries. It can be used to repair the soft tissue defects in the inferior part of the leg, ankle and foot.