摘要
目的应用足背内侧皮神经营养血管皮瓣修复足背远端软组织缺损临床疗效。方法2008年1月-2009年5月,应用足背内侧皮神经营养血管皮瓣修复足背远端缺损创面15例,进行回顾性分析。结果术后15例皮瓣全部成活,创面Ⅰ期愈合13例,Ⅱ期愈合2例,平均随访6(4-8)个月,皮瓣颜色、质地、厚薄与受区皮肤接近,痛、温觉均恢复。患足正常负重行走,皮瓣及供区植皮处皮肤无破溃。结论:足背内侧皮神经营养血管皮瓣手术操作简便、安全,血供可靠,是修复足背远端中小面积皮肤软组织缺损的一种有效方法。
Objective To investigate the clinical efficacy on the trophic vessels skin flap of medial dorsal cutaneous nerve of foot in the repair of distal dorsal defect of surface of wound.Methods From January 2008 to May 2009,15 cases with distal dorsal of surface of wound with trophic vessels skin flap of medial dorsal cutaneous nerve of foot in the repair of distal dorsal defect of surface of wound were analyzed retrospectively.Results 15 cases of skin flap were survival totally.The surface of wound was first attention and secondary intention in 13 and 2 cases respectively.The average follow-up time was ranged from 6 months（4～8）.The skin flap sin color,natural constitution and quality,thick and thin were similar to recipient area skin.Algesia and thalposis were recovered totally.The patients walking was in normal weight carrying.No ulceration was found in the skin flap and skin of supplying dkin graft area.Conclusion The trophic vessels skin flap medial dorsal cutaneous nerve of foot possesses simplified operative manipulation,safe,reliable blood supply and it is a effective method for the repair of middle and minor area skin and soft tissues defect in the distal dorsum of foot.
出处
《岭南现代临床外科》
2010年第1期61-62,65,共3页
Lingnan Modern Clinics in Surgery
关键词
足背内侧皮神经营养血管皮瓣
修复
足背远端软组织缺损
Trophic vessels skin flap of medial dorsal cutaneous nerve of foot
Repair
Distal dorsal soft tissues defect
