扩张后隐神经营养血管皮瓣修复足踝部软组织缺损

Repair of soft-tissue defects of feet and ankles by using an expanded reverse island flap with a saphenous neuro |vascular pedicle

目的 应用扩张后隐神经营养血管逆行岛状皮瓣修复足踝部软组织缺损。方法 解剖学研究证实与大隐静脉伴行的隐神经的营养血管呈丛状分布 ,与深浅筋膜内的血管网广泛交通 ,在此基础上以大隐静脉为轴线 ,设计逆行岛状皮瓣 ,扩张后转移至受区。结果 1999年 6月以来临床应用 6例 ,皮瓣面积最大为 12cm× 10cm ,皮瓣完全成活。结论 扩张后隐神经营养血管逆行岛状皮瓣安全可靠 ,操作简单 ,为足踝部创面修复提供了一种可靠的方法。

Objective To evaluate a expanded reverse island flap with a saphenous neuro |vascular pedicle for repairing the defects of the feet and ankles. Methods An expanded reverse island skin flap,with the saphenous neuro |vascular pedicle,was designed to repair the skin defects on the feet and ankles. Results Six patients with the defects of the feet and ankles were treated with the expanded saphenous island flap and all of the flaps were survived.The largest flap size was 12 cm×10 cm. Conclusions The expanded reversed island skin flap could be a good option for repairing the defects of the feet and ankles. ;