腓肠神经营养血管皮瓣的临床应用

Clinical application of the sural nerve nutritional artery island flap

目的 探讨腓肠神经营养血管皮瓣的优越性。方法 用逆行腓肠神经营养血管皮瓣对 1 5例患者的足背、内外踝、小腿中下段、胫前部皮肤缺损进行修复 ,同时观察腓肠神经及营养血管的走行特点。结果 1 5例完全成活 ,无 1例坏死或部分坏死。转移的皮瓣均于术后 6个月恢复感觉。结论 腓肠神经营养血管皮瓣切取简便 ,成功率高 ,最远可达足前中部 ,是修复足跟、足背、内外踝、及小腿中下段软组织缺损的理想供区。

Objective To investigate the superiority of the sural nerve nutritional artery island flap. Methods This method was applied to repair the soft tissue defect in dorsum of foot,malleolus,inferior part of shank,anterior tibia in 15 cases. The features of the nerve and the nutritional artery were observed.Results Fifteen cases of flap transplanted are all survived satisfactorly and the sense function recovered 6 months later.Conclusion The sural nerve nutritional artery island flap is easy to obtain and the rate of success is high. The farthest part of the flap can get to the intermedia of the anterior part of the foot. It is an ideal flap for repairing the soft tissue defect of the heels, dorsum,malleolus and the inferior part of the shank.