摘要
目的 探讨腓肠神经营养血管皮瓣治疗儿童足踝部皮肤软组织缺损的手术方法及临床疗效. 方法 2006年6月至2012年2月我们采用腓肠神经营养血管皮瓣治疗儿童足踝部皮肤软组织缺损37例,患儿年龄2～13岁,平均7岁；足踝部皮肤软组织缺损范围3 cm×2cm～8cm×7 cm；受伤至手术时间1～5个月,平均2个月；切取皮瓣面积为3 cm ×2 cm～9 cm ×8 cm,皮瓣蒂长约4～7 cm（平均5 cm）,筋膜蒂宽3.0 ～5.0 cm. 结果 37例患儿术后腓肠神经营养血管皮瓣全部成活,其中4例皮瓣周围皮缘部分坏死,6例术后出现皮瓣远端部分皮下脂肪液化,均经换药后愈合；37例患儿均获随访,随访时间3 ～46个月,平均20个月,皮瓣无臃肿,外形满意,功能、感觉良好,两点辨别觉正常,皮肤感觉恢复良好,能穿鞋正常行走. 结论 腓肠神经营养血管皮瓣手术操作简单,损伤少,成功率高,是修复儿童足踝部皮肤软组织缺损的有效可靠方法之一.
Objetive To study the operating method and clinical results of repairing soft tissue defects in children＇s foot and ankle using sural neurovascular island flaps.Methods The 37 cases children＇s soft tissue defects,which of area ranged from 3 cm × 2 cm to 8 cm × 7 cm,were repaired with sural neurovascular island flaps from June 2006 to February 2012 in our hospital.The area of flaps arrange was from 3 cm × 2 cm ～9 cm × 8 cm,the pedicle length of flaps from 4 cm to7cm（average 5cm） and the fascia width from 3.0 cm to 5.0 cm.The children were aged 2 to 13 years old （average 7 years）,and injury to operative time from one month to five months （average 2 months）.Results 37 cases had success completely,which of 4 cases got some distal necrosis and 6 cases got distal part of the subcutaneous fat liquefaction,and latter cured by dressing.These flaps had good shapes,well-function,normal two-point discrimination,good feeling sensation,shoes to walk normal and satisfactory elasticity by follow-up of 3 months to 46 months（average 20 months）.Conclusion Sural neurovascular island flaps have satisfactory elasticity,sensation and well-functioning.Above procedure is an uncomplicated operation which has a high success rate and less damage,so it＇s a comparative desirable method to repairing soft tissue defects in children＇s foot and ankle.
出处
《临床小儿外科杂志》
CAS
2013年第5期372-375,共4页
Journal of Clinical Pediatric Surgery
关键词
腓肠神经
外科皮瓣
治疗
软组织损伤
踝
儿童
Sural Nerve
Surgical Flaps
Therapy
Soft tissue Injuries
Ankle
Child
