腓肠神经营养血管蒂逆行岛状皮瓣的临床应用

Clinical application of reverse sural neurovascular island flap

目的探讨应用腓肠神经营养血管蒂岛状皮瓣的临床效果。方法以小腿腓肠神经营养血管远端为蒂设计并切取皮瓣,逆行转移修复小腿下段、踝部及足跟部皮肤缺损16例。结果随访6个月～2年,16例皮瓣中除1例皮瓣远端边缘部分坏死外,其余皮瓣全部成活。结论腓肠神经营养血管蒂岛状皮瓣具有血供可靠、操作简单、成活率高以及不牺牲知名血管等特点,是修复小腿下段、踝部及足跟部皮肤软组织缺损的理想方法之一。

Objective To study the effect of reverse sural neurovascular island flap in clinical practice. Methods 16 cases with distal leg, ankle, and calcaneal skin defects were repaired with reverse sural neurovascular island flaps. Results All cases were followed up for 6 - 24 months. All flaps survived except for 1 marginal necrosis. Conclusions Reverse sural neurovascular island flap has advantages of reliable vascular support, simple manipulation, high rate survivorship without nominate vascular sacrifice, which is ideal for distal leg, ankle, and calcaneal skin defects repair.