腓肠神经营养血管皮瓣修复足跟部创面的方法改进

Improved method to repair defects on feet with sural nerve nutrition blood vessel flaps

目的 对用腓肠神经营养血管皮瓣修复足跟部深度创面的方法进行改进。方法 在主皮瓣近端再设计一个纵轴长 6 .5～ 7.0cm的三角形辅助皮瓣 ,用以在皮瓣转位后覆盖皮瓣蒂部。结果自 1998年 9月以来 ,临床应用7例 ,效果满意。结论用腓肠神经营养血管皮瓣经明道转位时其近端的辅助皮瓣有助于防止蒂部受压 ,保证皮瓣血运 ,同时也利于术后局部外形的恢复。

Objective To improve the method of repair defects on feet with sural nerve nutrition blood vessel flap. Methods A triangular supplementary skin falp lengthened 6.5～7.0cm, was designed on the proximal end of principal skin flap in order to cover pedicle site. Results Since Sept. 1998, satisfactory results were achieved in 7 cases.Conclusion A triangular supplementary skin flap on the proximal end of sural nerve nutrition blood vessel flap might be helpful to prevent constriction in the pedicle, to guarantee blood supply of skin flap and to recovery of local appearance.