隐神经营养血管皮瓣修复下肢皮肤缺损

The distally based saphenous venofasciocutaneous flap for reconstruction of lower limb with soft-tissue defect

目的研究利用隐神经营养血管蒂皮瓣修复下肢皮肤缺损的新方法。方法以内踝上缘至股骨内髁连线为轴线,根据受区大小、形状及部位设计皮瓣,修复7例下肢皮肤缺损。结果除1例皮瓣远端部分坏死外,其余全部成活。经6-10个月随访,皮瓣质地柔软,颜色与受区皮肤接近;7例均恢复了负重、行走和原先工作。结论隐神经营养血管蒂皮瓣具有可靠的血液供应,操作简便,为下肢皮肤缺损的修复提供了一种新的方法。

Objective To present the authors experience with the use of saphenous venofasciocutaneous flap to treat soft-tissue defect of lower limb. Methods The flap was designed according to the size, shape and site of the recipient along an axial line between the superior border of internal malleolus and the internal condyle of femoral bone. seven patients with lower limb soft-tissue defect were treated using the distally based sphenous venofasciocutaneous flap. Results Good coverage of the defects occurred except partial necrosis in one patient. Conclusion The major advanlages of the dislally based saphenous venofascioculaneous flap are its easy dissection and its reliable blood supply. This flap can be effeclively used in repair of lower limb soft-tissue defect.