腓肠神经营养血管逆行岛状皮瓣修复足踝部皮肤缺损

Island skin flap with sural nerve nutrient vessels for repairing skin defects in ankle and foot

摘要: 目的:观察腓肠神经营养血管逆行岛状皮瓣修复足踝部皮肤缺损临床疗效。方法:对20例足跟、踝关节和足背皮肤缺损的患者采用腓肠神经营养血管逆行岛状皮瓣修复,供区的切口直接缝合或游离植皮覆盖,皮瓣面积4cm×5cm~11cm×10cm。结果:术后18例皮瓣全部成活,供、受区创面均愈合;皮瓣远端坏死2例。术后12例获随访6~12个月,皮瓣外形满意,颜色与周围组织相同,未出现破溃。结论:腓肠神经营养血管逆行岛状皮瓣是修复足踝部皮肤缺损的一种理想皮瓣。

Abstract: Objective: To investigate the effect of the island skin flap with sural nerve nutrient vessels on repairing skin defects in ankle and foot.Methods: Twenty patients with skin defects in ankle and foot were treated by improved island skin flaps with sural nerve nutrient vessels.The flap area ranged from 4 cm×5 cm to 11 cm×10 cm.The donor sites were sutured directly or covered with free flaps.Results: Eighteen flaps survived,and the donor and recipient sites healed well;two cases presented distal necrosis.Twelve cases were followed up for 6 to 12 months;the contour of the flap was satisfactory and the color was similar to that of normal skin;no necrosis occurred.Conclusions: The island skin flap with sural nerve nutrient vessels is an ideal flap for repairing skin defects in ankle and foot.