逆行隐神经岛状皮瓣的临床应用

Clinical application of insular skin flap of the reversed saphenous nerves

目的 报告逆行隐神经岛状皮瓣的临床应用结果。方法 应用这种技术修复6例足跟部软组织缺损,切取的皮瓣面积为4cm×6 cm至7cm×10 cm。结果 所有的皮瓣完全成活,取得了满意的效果。1例术后4d发生表浅感染,经换药愈合。结论 大隐静脉、隐神经和伴行的动脉网是该皮瓣的轴,该皮瓣具有血管解剖恒定、血管蒂长和操作简单等优点,而且较薄,适宜修复足部软组织缺损。

Objective To report the clinical results of the application of insular flap of reversed saphe-nous nerves. Methods 6 patients with foot soft tissue defect were repaired by this technique. The sizes of the insular flap of reversed saphenous nerves used,ranged from 4 cm×6 cm to 7 cm×10 cm. Results All the flaps were survived completely with satisfactory results. One case sustained superficial infection 4 days after operation. The infection was healed by medical dressing changes.Conclusion The greater saphenous vein,saphenous nerve and associated arterial network are the axis of the flap. The flap seems to have a constant vascular anas-tomy and a long vascular pedicle,so that dissection of the flap could be accomplished easily. The flap is thin and suitable for repair of soft tiussue defect of the foot.