隐神经营养血管皮瓣转位术修复小腿皮肤软组织缺损

冯琼华;张远金

【期刊名称】《临床骨科杂志》

【年(卷),期】2013(016)004

【摘要】目的探讨应用隐神经营养血管皮瓣转位术修复小腿皮肤软组织缺损的效果.方法54例小腿皮肤软组织缺损患者中,应用逆行隐神经营养血管皮瓣转位术修复34例,应用顺行隐神经营养血管皮瓣转位术修复20例.供区直接缝合或游离植皮.结果7例皮瓣远端皮缘水疱形成、2例皮缘部分坏死,均经换药后伤口愈合；45例组织瓣一期成活.创面愈合时间:急诊手术者为10 ～22(14±6)d,择期手术者为9～18(12±5)d.无感染.54例均获随访,时间10 ～22(16±6)个月.小腿内侧及足底感觉麻木均在术后1年6个月基本恢复正常.皮瓣外观、质地良好,患者行走功能良好.结论隐神经营养血管皮瓣转位术修复皮肤软组织缺损可获得优良疗效.%Objective To explore the application of saphenous neurocutaneous vascular flap to repair the skin of leg soft tissue defect.Methods 34 cases of open fractures and defects of distal leg were repaired with retrograde saphenous neurocutaneous vascular flap switch operation,another 20 cases with anterograde saphenous neurocutaneous vascular flap and in continued follow-up study.Results 7 cases of distal skin edge blister formation,2 cases of skin flap of partial necrosis,after dressing the wound healing all both.Surplus uniform flap of survival,no infection.direct Donor site was closed by suture or skin graft.Mean follow-up an average of 10 ～22 (16 ± 6)months.Wound