静脉周围组织营养皮瓣修补皮肤缺损45例分析

Repairing Limbs Soft Tissue Defect with the Veins Surrounding Tissue Nutrition Flap:45 Cases Clinical Analysis

目的：探讨静脉周围组织营养皮瓣治疗皮肤缺损的治疗价值。方法：采用静脉周围组织营养皮瓣的方法治疗四肢皮肤缺损患者45例。随访6-12个月，平均10个月。结果：通过静脉周围组织营养皮瓣的方法治疗，皮瓣均成活。由于切取皮瓣时保留了皮神经，皮瓣修复后肢体的感觉功能良好。结论：肢体表浅知名静脉存在于筋膜组织之中，其周围存在着比较集中的动脉营养供血，营养着大静脉及其周围组织，利用这套组织供血，可以设计各种静脉周围组织营养皮瓣。由于手术后患肢的神经不受影响，所以有广阔的应用前景。

Objective：To explore therapeutic value of the veins surrounding tissue nutrition flap for repairing skin defects of the limbs .Methods：We used intravenous surrounding tissue nutrition flap in treatment of 45 cases of patients with skin defects of the limbs ,and followed up for 6 months to 1 year, with an average 10 months.Results：The vein surrounding tissue nutrition flap were survived after operation .The cutaneous nerve retained when cut flap , so the skin flap of repairing limb had a good sensory function .Conclusion：Superficial-known vein of the limbs exists in the fascia tissue , and the concentrated nutrition of the arterial blood supply play a important role in the nutrition of large veins and surrounding tissue .Utilize a set of blood supply to tissues , we can design a lot kinds of the veins surrounding tissue nutrition skin flap .The nerve function of the limbs is not affected after surgery , so the application prospects is practical and broad .