CAJ | 학술논문

目的探讨腓肠神经营养血管皮瓣的临床应用特点.方法对17例腱外露软组织缺损的患者采用腓肠神经血管深筋膜皮瓣修复(足、足跟、踝、跟腱及胫前区骨)手术.结果 17例中14例一期成活.2例皮瓣水肿,边缘部分坏死,经切开减压,换药后成活.1例因跟骨骨髓炎形成皮瓣边缘慢性窦道,6个月后,骨折愈合,再行扩创、解除内固定、搔刮、冲洗后愈合.结论腓肠神经营养血管皮瓣切取简便,不需吻合血管,是修复足跟、内外踝、跟腱处和小腿软组织缺损的理想供区.
목적 탐토비장신경영양혈관피판적림상응용특점.방법 대17례건외로연조직결손적환자채용비장신경혈관심근막피판수복(족、족근、과、근건급경전구골)수술.결과 17례중14례일기성활.2례피판수종,변연부분배사,경절개감압,환약후성활.1례인근골골수염형성피판변연만성두도,6개월후,골절유합,재행확창、해제내고정、소괄、충세후유합.결론 비장신경영양혈관피판절취간편,불수문합혈관,시수복족근、내외과、근건처화소퇴연조직결손적이상공구.
Objective To investigate the characteristics of clinical application of skin flap supplied by sural nerve nutrition blood vessel. Methods The flaps were used in 17 cases to repair the soft tissue defect in heel,mallelous,anterior tibial and achilles tendon. Results 14 cases of 17 survived satisfactory. 2 cases presented edema and partially necrosis,they finally survived after open decompression and change of dressing. 1 case presented chronic sinus because of osteomyelitis of calcaneus. 6 months later, when the fracture healed, we performed debridement, removal of internal fixation, curettage and irrigation. It finally healed. Conclusion The sural nerve nutrition blood vessel flap was easy to elevate and safe, which was an ideal flap for repairing the soft tissue defect around the heel, malleolus, achilles tendon and the anterior tibial.