摘要
目的探讨腓肠神经营养血管蒂逆行岛状皮瓣修复小腿下1/3皮肤软组织缺损的治疗效果。方法应用腓肠神经营养血管蒂逆行岛状皮瓣修复5例胫前、跟腱、踝部皮肤软组织缺损,其中外伤后跟腱外露皮肤缺损3例,胫前和踝部慢性溃疡各1例。结果5例皮瓣全部存活,皮瓣质地优良,受区供区形态及功能满意。结论腓肠神经营养血管蒂逆行岛状皮瓣血供可靠,不牺牲主干血管,对供区外观及功能无不良影响,且蒂长设计转移灵活,是修复小腿下1/3软组织缺损的理想皮瓣。
Objective To investigate the effect of soft tissue defect repairing of lower third of the leg by reversed island flap pedicled with nutrient vessels of sural nerve.Methods Five cases soft tissue defect of lower third of leg were repaired with reversed island flap pedicled with nutrient vessels of sural nerve.In this cases,there are three achilles tendon exposure accompanied sof tissue defect for trauma,one chronic ulcer of anterior tibial area,one chronic ulcer of lateral mallelous.Results All flaps wered surrived in five patients. The function and shape of recipient and donor site were satisfied.Conclusion The reversed island flap pedicled with nutrient vessels of sural nerve which has reliable blood supply, long-pedicled,simple poperative technique,not sacrificed major vessel was ideal donor site for soft tissue defect repairing of lower third of leg.
