远端为蒂的腓肠神经伴行血管岛状皮瓣修复下肢软组织缺损21例分析

Analysis of island flaps of distal pedicled sural nerve accompanying blood vascular for 21 cases of lower extremity soft tissue defects reconstruction

目的探讨远端为蒂的腓肠神经伴行血管岛状皮瓣，修复下肢软组织缺损的效果。方法应用远端为蒂的腓肠神经伴行血管岛状皮瓣修复下肢足背、跟部、踝部、小腿胫前中下1／3软组织缺损21例，观察皮瓣成活、受区软组织缺损愈合情况。结果所有皮瓣均成活，且与受区软组织缺损顺利愈合。结论远端为蒂的腓肠神经伴行血管岛状皮瓣，是修复足背、跟部、小腿胫前中下1／3软组织缺损的理想供区。

Objective To investigate the eharaeterristics of distally based sural flap for the leg reconstruction. Methods Twenty-one patients with soft tissue defects in the instep, heel, ankle and distall one third anterior tibial region were analyzed. Results All flaps survived and healed with the affected area. Conclusion Distally based sural flap was reliable flap without sacrifice of major arteries. It can be used reliably for instep, heel, ankle and distal one third anterior tibial region.