组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2017, Vol. 13 ›› Issue (3): 139-142.doi: 10.3969/j.issn.1673-0364.2017.03.006

• 论著 • 上一篇    下一篇

腓肠神经小隐静脉筋膜皮瓣在足踝区皮肤软组织缺损修复中的应用

侯俊杰，杨欣，马勇光   

  1. 首都医科大学附属北京友谊医院医学美容中心；北京大学第三医院成形外科
  • 发布日期:2020-07-23

The Application of Sural Neuro-Veno-Fasciocutaneous Flap in Repairing Skin Soft Tissue Defect of Ankle

HOU Junjie,YANG Xin,MA Yongguang   

  • Published:2020-07-23

摘要： 目的 探讨腓肠神经小隐静脉筋膜皮瓣在足踝区皮肤软组织缺损修复中的应用.方法 2008年10月至2012年5月,对12例足踝区皮肤软组织缺损患者,采用腓肠神经小隐静脉筋膜皮瓣进行修复.回顾分析本组患者的皮肤软组织缺损情况、皮瓣尺寸、修复效果、术后形态、供区瘢痕、继发创面是否植皮等情况.结果 足踝区皮肤软组织缺损得到良好修复,术后外观满意,供区切口瘢痕不明显.结论 小腿后侧是足踝区皮肤软组织缺损理想的皮瓣供区;腓肠神经小隐静脉筋膜皮瓣可以修复大部分足踝区皮肤软组织缺损,皮瓣宽度较小时,供区可直接拉拢缝合;若无法拉拢缝合时,可植皮覆盖供区.对皮瓣滋养血管的保护是手术成功的关键因素.

关键词: 足踝区创面, 创面修复, 腓肠神经小隐静脉筋膜皮瓣

Abstract: Objective To investigate the application of sural neuro-veno-fasciocutaneous flap graft for repairing skin soft tissue defect of ankle. Methods From May 2008 to October 2012, 12 patients with ankle skin soft tissue defect were treated with sural neuro-veno-fasciocutaneous flap graft. Each patient's defect state, flap size, repairing effect, appearance change after the surgery, cicatricial state of the donor area, the need to graft for the secondary wound area were all reviewed. Results The ankle skin soft tissue defects in all patients were well-repaired. The outcome appearance was satisfactory, and the incision cicatrix of the donor area was not obvious. Conclusion Posterior shank area is the ideal flap donor for ankle skin soft tissue defect. Sural neuro-veno-fasciocutaneous flap could be grafted for repairing most ankle skin soft tissue defects. If the flap is not that wide, the incision of the donor area could be directly sutured, otherwise, the donor area should be repaired by free skin graft. The protection of vascular pedicle is the key to the success of the surgery.

Key words: Ankle defect, Wound healing, Sural neuro-veno-fasciocutaneous flap

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