足背中间皮神经营养血管皮瓣对足背动脉皮瓣供区的修复

Repairing the donor sites of the dorsal artery flaps with the intermediate dorsal neurocutaneous flap on the foot

目的报道足背中间皮神经营养血管皮瓣对足背动脉皮瓣供区修复的效果。方法切取足背中间皮神经营养血管皮瓣修复足背动脉皮瓣供区，男10例，女5例，年龄4～50岁。采用足背中间皮神经营养血管近端蒂皮瓣修复足背近端创面10例，采用足背中间皮神经营养血管远端蒂皮瓣修复足背远端创面（扩大的第二足趾再造手指供区）5例。皮瓣大小为8．0cm×3．3cm～11．0cmx5．0m。足背中间皮神经营养血管皮瓣供区植皮。结果15例皮瓣完全成活，12例获随访，平均随访12个月。皮瓣色泽、质地、外形良好，足背中间皮神经营养血管皮瓣供区植皮修复后无溃疡发生。结论足背动脉皮瓣供区可采用带蒂的足背中间皮神经营养血管皮瓣修复．方法简单、适用、可靠。

Objective To report the effect of repairing donor site of the dorsal artery flap with the intermediate dorsal neurocutaneous flap on the foot. Methods The intermediate dorsal neurocutaneous flaps were incised to repair donor sites of the dorsal artery flaps. Of these, 5 were females and 10 were males, with an age range from 4 to 50 years. 10 wounds on proximate of dorsum pedis were repaired by the proximately-based intermediate dorsal neurocutaneous flap on the foot.5 wounds on distal end of dorsum pedis （donor sites of reconstructing the digits with the enlarged second toe） were repaired by the distally- based intermediate do rsal neurocutaneous flap on the foot. The size of the flap ranged from 8.0 cm ×3.3 cm to 11.0 cm x 5.0 cm. The donor sites of the intermediate dorsal neurocutaneous flap were resurfaced with skin grafts. Results 15 flaps survived completely. 12 cases were followed up,average follow-up in this group was 12 months. The colour, texture, contour of the flaps were good,and no ulcers on the donor sites of the intermediate dorsal neurocutaneous flap on the foot. Conclusion The donor sites of the dorsal artery flaps can be repaired by the intermediate dorsal neurocutaneous flaps on the foot.The method is simple, applicable, safety.