中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2012年
1期
22-25
,共4页
陈雪松%陈建明%肖茂明%王元山%徐永清%管力%张黎明%江珉%李彦林
陳雪鬆%陳建明%肖茂明%王元山%徐永清%管力%張黎明%江珉%李彥林
진설송%진건명%초무명%왕원산%서영청%관력%장려명%강민%리언림
外科皮瓣%腓肠神经%跟腱
外科皮瓣%腓腸神經%跟腱
외과피판%비장신경%근건
Surgical falp%Sural nerve%Achilles tendon
目的 探讨应用改良腓肠神经营养血管皮瓣修复跟腱区创面的方法及疗效.方法 设计切取以最低位腓动脉主穿支为蒂的矩形腓肠神经营养血管皮瓣,修复跟腱后皮瓣旋转180°,远、近端交换覆盖创面.供区一般直接缝合,个别病例需小面积全厚植皮.结果 2005年6月至2008年10月临床应用15例,皮瓣切取面积13 cm ×15 cm～ 18 cm ×9 cm,均全部成活.术后随访10～ 17个月,足踝功能良好,外形轮廓接近正常.结论 该皮瓣血供确切,修复后外形平整美观,利于正常穿鞋行走,适用于跟腱区创面缺损的修复.
目的 探討應用改良腓腸神經營養血管皮瓣脩複跟腱區創麵的方法及療效.方法 設計切取以最低位腓動脈主穿支為蒂的矩形腓腸神經營養血管皮瓣,脩複跟腱後皮瓣鏇轉180°,遠、近耑交換覆蓋創麵.供區一般直接縫閤,箇彆病例需小麵積全厚植皮.結果 2005年6月至2008年10月臨床應用15例,皮瓣切取麵積13 cm ×15 cm～ 18 cm ×9 cm,均全部成活.術後隨訪10～ 17箇月,足踝功能良好,外形輪廓接近正常.結論 該皮瓣血供確切,脩複後外形平整美觀,利于正常穿鞋行走,適用于跟腱區創麵缺損的脩複.
목적 탐토응용개량비장신경영양혈관피판수복근건구창면적방법급료효.방법 설계절취이최저위비동맥주천지위체적구형비장신경영양혈관피판,수복근건후피판선전180°,원、근단교환복개창면.공구일반직접봉합,개별병례수소면적전후식피.결과 2005년6월지2008년10월림상응용15례,피판절취면적13 cm ×15 cm～ 18 cm ×9 cm,균전부성활.술후수방10～ 17개월,족과공능량호,외형륜곽접근정상.결론 해피판혈공학절,수복후외형평정미관,리우정상천혜행주,괄용우근건구창면결손적수복.
Objective To report the operative techniques and clinical results of specially designed sural neurocutaneous vascular flap pedicled on a dominant perforator (the diameter ≥ 0.8 mm) of the peroneal artery for coverage of soft tissue defects overlying the Achilles tendon. Methods An approximately rectangular sural neurocutaneous vascular flap pedicled on the lowest dominant perforator arising from the peroneal artery was designed and harvested to repair defects over the Achilles tendon.The pedicle was located at a certain part of the flap,which divided the flap into the distal and the proximal parts.After the tendon was repaired,the flap was rotated 180° based on the perforator and the position of the distal and proximal parts of the flap was changed to cover the defects and part of the donor site respectively.In most cases,skin graft was not needed.Results The modified flaps were applied in 15 cases.All flaps( ranged from 13 cm × 15 cm ～ 18 cm× 9 cm ) were transplanted successfully without necrosis, and no vascular problems occurred.Following up for 10-17 months showed both satisfactory functional and cosmetic results.Conclusions The modified flap has reliable blood supply and the special design provides nearly normal outline of the ankle which favorites shoe wearing.It's an excellent option for covering defects overlying the Achilles tendon.
