摘要
目的探讨应用腓肠神经营养血管皮下筋膜瓣修复足踝部软组织缺损的临床效果。方法自2006年5月至2013年5月，应用腓肠神经营养血管皮下筋膜瓣修复足踝部软组织缺损19例，软组织缺损部位：内踝部3例，足背部16例，缺损面积3cm×3cm-7cm×9cm。供区保留皮肤并直接缝合，受区筋膜瓣成活后行肉芽重塑、游离植皮。结果随访3—18个月，组织瓣全部存活，植皮后筋膜较薄、平整，与周围组织几乎相平，供区仅留线性瘢痕，外观和功能恢复良好。足背外侧区域感觉减退至S3，筋膜瓣区域感觉恢复至S2。植皮区色素沉着。结论采用腓肠神经营养血管筋膜皮下组织瓣可有效修复足踝部软组织缺损，并避免了供区凹凸不平、受区臃肿等缺点，可获得满意的外观及功能。
Objective To investigate the clinical effect of repairing soft tissue defects of foot and ankle by sural neurovascular adipofascial flap. Methods Application of sural neurovascular adipofascial flap to repaire soft tissue defects of foot and ankle in 19 patients, inclouding 3 esaes with the soft tissue defects of medial malleolus and 16 cases of dorsum pedis from May,20006 to May,2013. The size of soft tissue defects was 3 cm ×3 cm-7 cm ×9 cm. The skin of the donor site was sutured directly. The recipient area was reshaped granulation and underwent free skin graft after the adipofascial flap survived. Results After followed up of 3- 18 months, the adipofascial flaps were all survived, the recipient area was almost flat with the surrounding tissue, the donor area only leaving linear scar, the appearance and function of donor area and adopt area were satisfactory. The sensation of lateral dorsal region of foot decreased to S3, and the sensation of recipient site recovered to S2. There were some changes in pigmentation with the skin graft region. Conclusion Sural neurovascular adipofascial flap can be effectively repaired soft tissue defects of foot and ankle, and it can avoid irregularity of donor area and enlargement of adopt area, the appearance and function were satisfactory.
出处
《中华显微外科杂志》
CSCD
北大核心
2014年第5期472-474,共3页
Chinese Journal of Microsurgery
关键词
腓肠神经
皮下筋膜瓣
足
踝
显微外科手术
SuraX nerve
Adipofascial flap
Foot
Ankle
Microsurgical operation
