腓肠神经营养血管皮瓣修复足部软组织缺损

Sural neurocutaneass uascluar flap for repairing soft tissue defects of the feet

目的探讨腓肠神经营养血管皮瓣修复足部软组织缺损的手术效果及随访情况。方法对5例足跟或外踝软组织缺损患者采用腓肠神经营养血管皮瓣修复足部缺损。结果 5例患者除1例部分坏死,其余均完全成活。经过6~12个月的随访,患者的皮瓣质地色泽良好,厚薄均匀,足部外观功能恢复较好,供区愈合良好。足跟部创面痛觉、触觉恢复良好。结论腓肠神经营养血管皮瓣具有解剖恒定、不牺牲重要血管及不需要吻合血管、切取方便、技术容易掌握、修复范围较广、皮瓣较薄等优点,是修复踝部及足跟部软组织缺损的理想方法,值得临床推广和应用。

Objective To investigate the sural neurocutaneous vascular flap for repairing soft tissue defects of feet and follow-up of results of operations.Methods Five cases of soft tissue defects of the heel or the lateral malleolus treated by sural neurocutaneous vascular flap to repair defects of feet.Results Five patients with partial necrosis except for one case and the rest survived completely.After 6-12 months of follow-up,the patient＇s flap color and good texture,thickness uniformity,the feet looks better functional recovery for the area healed well.Wound heel pain,touch and a good recovery. Conclusion Sural neurocutaneous vascular flap anatomy of a constant,without sacrificing the important blood vessels and does not require vascular anastomosis,are cut to facilitate technology easy to master,and has troader repair area and thin flaps,is a ideal way to repair the ankle and heel soft tissue defect,whith is worthy to be popularized and applied.