腓肠神经营养血管皮瓣修复足踝部皮肤缺损

目的 探讨改进腓肠神经营养血管皮瓣修复足踝部皮肤软组织缺损的方法及效果.方法　2003年1月至2011年1月,在腓动脉穿支与腓肠神经营养血供的解剖基础上,根据足踝部皮肤缺损大小,设计腓肠神经营养血管皮瓣,逆行移位修复足踝部皮肤软组织缺损13例.切取皮瓣而积9 cm×8.5 cm～ 28 cm×13 cm,穿支血管蒂长1.7～3.3 cm.结果　本组中11例皮瓣全部存活,2例皮瓣远端边缘坏死,经换药治愈.全部患者随访6～12个月,皮瓣外形及功能满意.结论　腓动脉穿支蒂腓肠神经营养血管皮瓣手术操作简便,血供可靠,切取面积大,适用于修复足踝部大面积皮肤软组织缺损.

Clinical Application of Flap Pedicled with Sural Nerve Nutrient Vessel in Repairing Soft Tissue Defect of the Ankle and Foot

Objective To explore the application of flap pedicled with sural nerve nutritional vessel axial in repairing soft tissue defect of the ankle and foot. Methods From January 2003 to January 2011, according to the position and size of the soft tissue defects, the modified flaps were applied in 13 cases with soft tissue defects of the ankle and foot on the anatomical basis of the inter-musclar septum pertorating branches of peroneal artery and the sural nerve nutrient vessel. The flap size ranged from 9 cm × 8.5 cm to 28 cm × 13 cm. The vessel pediele of perforating branches ranged from 1.7 cm to 3.3 cm. Results Among the 13 cases, 11 flaps survived completely, 2 patients suffered from distal edge necrosis and healed after dressing change. The outline and function were satisfactory during 6-12 months follow-up. Conclusion This flap is easy, reliable and large enough to repair skin defect of the ankle and toot.