腓肠神经营养血管皮瓣修复膝至足踝部创面

The clinical analysis of the suralneuro-veno-fasciocutaneous for recovering skin defect from the knee to ankle

目的探讨腓肠神经营养血管皮瓣移植修复膝至足踝部创面的临床特点和效果。方法2006年1月-2012年6月，对49例膝部、小腿、足踝部皮肤缺损患者采用腓肠神经血管皮瓣移植修复。结果本组49例50块皮瓣全部成活45块．2例出现边缘性部分坏死，3例皮瓣坏死，成功率90％。成活皮瓣色泽、质地及外形良好，术后经1-2年随访，供区功能无明显影响。结论应用腓肠神经营养血管皮瓣移植修复皮肤缺损是一种理想的方法。适应证的选择、手术具体操作方法以及对合并症或并发症的正确处理是成功的关键。

Objective To explore the clinical characteristics and efficacy of the suralneuro-venofasciocutaneous flap for repairing the soft-tissue defects from the knee to ankle. Methods Between January 2006 to June 2012, 49 patients were transplanted the suralneuro-veno-fasciocutaneous flap to repair the knee, shank, ankle skin defect. Results 45 out of 50 flaps （49 cases） survived completely, and 2 cases had been found partial necrosis at the edge of flaps. The achievement rate was 90%. The lustre, quality and appearance of the survived flaps were approved well. The patients were followed-up for 1 to 2 years, there was no obvious effect in donor site. Conclusion It is an ideal method that using suralneuro-veno- fasciocutaneous flap for repairing skin defects. The key point of success is the choice of adaptability, the manipulation of the operations and the correct processing of complications.