腓肠神经营养血管皮瓣的应用

目的观察腓肠神经及其营养血管为蒂的岛状皮瓣修复跟部周围及小腿中下段皮肤软组织的疗效,为指导跟部周围及小腿中下段皮肤软组织修复提供更为有效的临床方法。方法应用腓肠神经及其营养血管为蒂的岛状皮瓣修复跟部周围及小腿中下段皮肤软组织缺损9例,为了防止皮瓣脱套,采用顺着血管蒂向近端分离的方法,疗效良好。结果本组9例中,1例皮瓣远端出现少许皮缘坏死,8例恢复良好。结论因此为了防止皮瓣脱套,采用顺着血管蒂向近端分离的方法较可靠。采用顺着血管蒂向近端分离的方法,可有效防止皮瓣脱套。

Objective To observe the sural nerve and its nutrient vessels as a pedicled island flap to repair heel and around the lower leg in the efficacy of skin and soft tissue, with the guidance of the Department and around the lower leg in the repair of skin and soft tissue to provide more effective clinical methods. Methods Application of the sural nerve and its nutrient vessels as a pedicled island flap to repair heel and around the lower leg skin and soft tissue defect above 9 cases, in order to prevent skin degloving, used along the vascular pedicle to the proximal separation method, a good effect. Results 9 cases in this group, I remote a little flaps of skin flap necrosis, eight cases of good recovery. Conclusion Therefore,in order to prevent skin degloving used along the proximal vascular pedicle to a more reliable method of separation. Used along the vascular pedicle to the proximal method of separation can be effective in preventing skin degloving.