中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
25期
86-87
,共2页
腓肠神经%延迟转移%皮瓣%软组织损伤
腓腸神經%延遲轉移%皮瓣%軟組織損傷
비장신경%연지전이%피판%연조직손상
Sural nerve%Repair delay transfer%Flaps%Soft tissue injuries
目的：探讨延迟转移的低旋转点腓肠神经营养皮瓣临床应用效果。方法选择我院骨科110例小腿、踝及足部软组织严重损伤的创面采用延迟转移的低旋转点腓肠神经营养皮瓣修复，创面缺损面积为8×7 cm～27×13 cm，创面最远的达到前足。结果110例患者均获得随访，时间1～3年，皮瓣均完全成活，其中1例老年患者皮瓣边缘发生部分坏死，经过二期再次植皮治愈。结论腓肠神经营养皮瓣质地良好，解剖恒定，操作容易掌握，不需吻合血管，尤其是采用延迟转移后，有效提高成活率，是修复小腿下段、踝及足创面较理想的方法。
目的：探討延遲轉移的低鏇轉點腓腸神經營養皮瓣臨床應用效果。方法選擇我院骨科110例小腿、踝及足部軟組織嚴重損傷的創麵採用延遲轉移的低鏇轉點腓腸神經營養皮瓣脩複，創麵缺損麵積為8×7 cm～27×13 cm，創麵最遠的達到前足。結果110例患者均穫得隨訪，時間1～3年，皮瓣均完全成活，其中1例老年患者皮瓣邊緣髮生部分壞死，經過二期再次植皮治愈。結論腓腸神經營養皮瓣質地良好，解剖恆定，操作容易掌握，不需吻閤血管，尤其是採用延遲轉移後，有效提高成活率，是脩複小腿下段、踝及足創麵較理想的方法。
목적：탐토연지전이적저선전점비장신경영양피판림상응용효과。방법선택아원골과110례소퇴、과급족부연조직엄중손상적창면채용연지전이적저선전점비장신경영양피판수복，창면결손면적위8×7 cm～27×13 cm，창면최원적체도전족。결과110례환자균획득수방，시간1～3년，피판균완전성활，기중1례노년환자피판변연발생부분배사，경과이기재차식피치유。결론비장신경영양피판질지량호，해부항정，조작용역장악，불수문합혈관，우기시채용연지전이후，유효제고성활솔，시수복소퇴하단、과급족창면교이상적방법。
Objective To explore the clinical application of delayed transfer of the lower rotating point neurovascular fasciocutaneous flap. Methods 110 cases of severe soft tissue defect in leg,ankle and foot were enrol ed in our research,the delayed transfer of the lower rotating point sural neurocutaneous flap was performed to repair the wound,the area of defects was 8cmx7cm-27cmx13cm,the farthest wound reached the front foot. Results 110 cases were al fol owed up for 1~3 years,the flaps were survived completely,1 cases of elderly patients with skin flap necrosis in the edge,were cured by secondary skin grafting. Conclusion Neurovascular fasciocutaneous flap has good blood supply,constant anatomy,and the operation is easy to be learned,there is no vascular anastomosis and the flap survival rate is improved,especial y when use transfer delay,it is an ideal method for the repair of the lower leg,ankle and foot wound.
