带脂肪筋膜蒂皮神经轴型皮瓣——探讨皮神经营养血管皮瓣命名问题

A adipofascial pedicled neurocutaneous axis flap

目的总结带脂肪筋膜蒂皮神经轴型皮瓣修复四肢组织缺损的临床效果,探讨皮神经营养血管皮瓣命名问题。方法自1997年1月2006年3月应用四肢带脂肪筋膜蒂皮神经轴型皮瓣12种修复组织缺损153例。其中股后皮神经轴型皮瓣共6例,腓肠神经轴型皮瓣共66例,腓浅神经轴型皮瓣共20例,隐神经轴型皮瓣18例。足背皮神经轴皮瓣12例,前臂外侧皮神经轴型皮瓣修复手背、手掌软组织缺损4例,前臂内侧皮神经轴型皮瓣4例,拇背皮神经轴型皮瓣修复拇指软组织缺损共10例,食指指背皮神经轴型皮瓣8例,手背尺神经轴型皮瓣5例。结果移位皮瓣153例,坏死完全2例,部分坏死7例,完全成活率为92.8%。结论带脂肪筋膜蒂皮神经轴型皮瓣是一种新型、简便、实用的软组织缺损修复方法,利于临床推广应用。

Objective To study the treatment outcome of adipofascial pedicled neurocutanous axis flap and explore nomenclature of neurocutaneous vascular flap.Methods We treated 153 patients with soft tissue defects with adipofascial pedicled neurocutanous axis flap from 1997 to 2006.These flaps consisted of adipofascial pedicled the posterior femoral neurocutanous axis flap(6),sural neurocutanous axis flap(66),peroneus superficialis neurocutanous axisflap(20),saphenus neurocutanous axis flap(18),dorsalis neurocutanous axis flap(12),lateral(4) and medial(4)neurocutanous axis flap of the forearm,digital dorsal neurocutanous axis flap(23).Results All the flaps survived.60 patients were followed clinically for a mean of 4.3 years(range 10 to 78 monthes).The excellent and good rate was 92.8%.Conclusion adipofascial pedicled neurocutanous axis flap was feasible treatment for soft tissue defects in extremities.