皮神经营养血管皮瓣的临床可靠性分析

Clinical reliability analysis of the neurocutaneous vascular flap.

目的观察各种皮神经营养血管皮瓣的临床应用效果。方法临床应用共78例，根据创面特点，设计多种皮神经营养血管筋膜皮瓣，皮瓣面积3cm×3cm～20cm×10cm，筋膜蒂最长15cm，最短3cm，旋转度90°～180°。腓肠神经营养血管逆行岛状皮瓣45例，隐神经营养血管逆行岛状皮瓣27例，拇指尺背侧皮神经营养血管皮瓣6例。结果75例皮瓣成活，3例皮瓣部分坏死，经换药结合植皮全部愈合。结论皮神经营养血管皮瓣血供可靠，是修复四肢中、小面积软组织缺损的良好选择之一，供区灵活多样、损伤小、操作简单。

Objective To investigate the clinical effects of neurocutaneous vascular flaps. Methods Seventy - eight cases of clinical application, according to wound characteristics, designing a variety of neuroeutaneous vascular flap. The total area of flaps covered 3cm × 3cm - 20cm × 10cm and the pediele length of the flaps was 3 - 15em, rotating 90 °- 180 °. Fourty - five cases were repaired by sural neurovascular vascular flap, 27 cases were repaired by sapHenous neurovascular vascular flap and reversed dorsal marius neurocutaneous flap in 6 eases. Results Seventy - five flaps survived completely,while 3 flaps survived partially and treated with dressing change and skin - grafting. Conclusion The neurocutaneous vascular flaps are suitable for repairing limbs and trunk injuries due to their steady blood supply and easy harvest.