应用腓肠神经营养皮瓣修复足踝部感染性缺损创面

Repair of infected ankle and foot soft tissue defect with sural nerve nutritional vessel axial flap

目的探讨腓肠神经营养皮瓣在足踝部感染性缺损创面中的应用和临床疗效。方法 6例足踝部感染缺损创面,通过清创联合腓肠神经营养皮瓣修复创面,皮瓣切取面积:5 cm×2 cm～32 cm×12 cm。结果 2例发生皮瓣边缘渗出,换药后治愈。住院时间15～78 d。6例均获随访,时间3～5个月。患者皮瓣均完全成活,创面有效修复,无感染复发,足踝部功能恢复良好,能正常负重,无皮瓣溃疡发生,皮瓣外观满意。结论有效清创联合腓肠神经营养皮瓣操作简单,血运可靠,应用于修复足踝部感染缺损性创面,可获得较好的临床效果。

Objective To study the operative technique and clinical results of repairing the infected ankle and foot soft tissue defect with sural nerve nutritional vessel axial flap. Methods 6 cases with infected soft tissue defect over the ankle and foot were debrided and repaired with sural nerve nutritional vessel axial flap. The flap area ranged 5 cm × 2 cm to 32 cm × 12 cm. Results Mild effusion occurred in 2 eases, and healed with dress changing. The time in hospital was 51 - 78 days. 6 cases were followed up for 3 - 5 months. All of the flaps were survived. And the wounds were repaired. From the surgery, 6 cases got satisfactory function of ankle and foot, had no relapse of infection, normal weight loading, no ulcer, and the restoration of flaps outlook were well. Conclusions The preparation of sural nerve nutritional vessel axial flap with effective debridement is simple and the blood supply of this flap is reliable. The flap can repair of infected ankle and foot soft tissue defect and get a better clinical effect.