摘要
目的:初步总结腓肠神经营养血管逆行岛状皮瓣在修复小腿中下段及足部创面的临床效果。方法:2006年1月～12月,我科采用腓肠神经营养血管逆行岛状皮瓣共10例,皮瓣最大面积为18cm×13c,m最小为4.5cm×10cm;其中男9例,女1例。其中骨髓炎骨外露6例,肌腱外露4例。供区直接缝合或植中厚皮片。结果:术后皮瓣完全成活,个别病例术后较臃肿,待二期将皮瓣修薄。结论:应用腓肠神经营养血管逆行岛状皮瓣修复小腿中下段及足部创面的临床效果可靠,手术操作简便,不牺牲小腿主要血管神经,对足部影响较小,便于推广开展。
Objective To summarize the clinical effect of repairing soft tissue defects in lower part of shank, the foot, with antidromic island flap providing blood supply by suralis newer. Methods From January to December 2006,there were 10 cases repairing soft tissue defects with antidromic island flap providing blood supply by suralis newer, including 9 males and 1 females. The biggest area was 18cm ×13cm,and the smallest was 4.5cm ×10cm.There were 6 cases osteomyelitis with bone exposure,4 cases muscle tendon exposure.donor-area direct suture or plant skin. Results All flaps survived,several cases flap were fat and clumsy and need make them thin in second intention. Conclusion The clinical result of repairing soft tissue defects in lower part of shank, the foot, with antidromic island flap providing blood supply by suralis nerver is reliable.The operation is sinple, without sacrifice of major arteries, low infection to foot, convenient for application.
出处
《中国美容医学》
CAS
2008年第5期633-634,共2页
Chinese Journal of Aesthetic Medicine
关键词
腓肠神经营养血管
岛状皮瓣
providing blood supply by sural nerve
island flap
