| 腓肠神经营养血管逆行皮瓣修复下肢软组织缺损 |
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投稿时间：2009-12-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 梅正峰 |
MEI Zheng-feng |
浙江中医药大学附属杭州市第三人民医院骨科，浙江 杭州 310009 |
Department of Orthopaedics,the Third People's Hospital of Hangzhou Affiliated to Zhejiang University of TCM,Hangzhou 310009,Zhejiang,China |
jackmzhf@yahoo.com.cn |
| 李攀登 |
LI Pan-deng |
安徽省蚌埠医学院 |
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| 端木群力 |
DUANMU Qun-li |
浙江中医药大学附属杭州市第三人民医院骨科，浙江 杭州 310009 |
Department of Orthopaedics,the Third People's Hospital of Hangzhou Affiliated to Zhejiang University of TCM,Hangzhou 310009,Zhejiang,China |
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| 雷文涛 |
LEI Wen-tao |
浙江中医药大学附属杭州市第三人民医院骨科，浙江 杭州 310009 |
Department of Orthopaedics,the Third People's Hospital of Hangzhou Affiliated to Zhejiang University of TCM,Hangzhou 310009,Zhejiang,China |
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| 赵琦辉 |
ZHAO Qi-hui |
浙江中医药大学附属杭州市第三人民医院骨科，浙江 杭州 310009 |
Department of Orthopaedics,the Third People's Hospital of Hangzhou Affiliated to Zhejiang University of TCM,Hangzhou 310009,Zhejiang,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第3期，第172-174页 |
| DOI：10.3969/j.issn.1003-0034.2010.03.006 |
| 基金项目: |
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中文摘要:
目的：探讨腓肠神经营养血管逆行皮瓣的临床应用价值。
方法：2007年1月至2009年5月，10例下肢软组织缺损，男6例，女4例；年龄16～55岁，平均32岁。其中足部软组织缺损6例，骨折术后骨外露2例，小腿慢性溃疡2例。对腓肠神经血管逆行皮瓣通过显微技术吻合及结扎小隐静脉，将皮瓣近侧腓肠神经断端与患处附近的神经行端侧吻合，根据皮瓣外观、血运、质地、弹性及皮肤两点辨别觉评价术后疗效。
结果：术后患者伤口愈合，无明显的并发症发生。术后随访6～24个月，平均15个月。皮瓣外观、血运、质地、弹性佳，皮肤两点辨别觉为9～12 mm 2-PD.
结论：此皮瓣切取方便，血供丰富且不牺牲主要动脉，静脉血回流通畅，成活可靠，术后恢复保留了皮瓣的感觉功能，足跟及足外侧缘无感觉丧失区，提高了生活质量。 |
| 【关键词】腓肠神经 隐静脉 外科皮瓣 创伤和损伤 |
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| Reversed sural neurovascular fasciocutaneous flap for reconstruction of soft tissue defects of lower limbs |
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ABSTRACT
Objective: To investigate the clinical application of the reversed sural neurovascular fasciocutaneous flap.
Methods: From January 2007 to May 2009,10 patients(6 males and 4 females) with soft tissue defects on lower limbs were treated by reversed sural neurovascular fasciocutaneous flap. The end-to-side neuroanastomosis were used to reinnervate the flap and microsurgery was used for anastomosing small saphenous vein. The age ranged from 16 to 55 years(mean,32 years). There were 6 patient with soft tissue defects on foot,2 patients with exposed bone after operation,2 patients with chronic ulcer on limb. The patients were evaluated with appearance,blood supply,texture and 2-PD of the flaps.
Results: All the patients were followed for 6 to 24 months(mean,15 months). The flaps in all 10 patients survived completely. The appearance,blood supply and texture of the flaps were excellent and 2-PD was 9 to 12 mm.
Conclusion: This flap has sufficient blood supply and high survival rate. It also effectively retains the feeling of dorsolateral heeland improved quality of life. |
| KEY WORDS Sural nerve Saphenous vein Surgical flaps Wounds and injuries |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 梅正峰,李攀登,端木群力,雷文涛,赵琦辉.腓肠神经营养血管逆行皮瓣修复下肢软组织缺损[J].中国骨伤,2010,23(3):172~174 |
| 英文格式: | MEI Zheng-feng,LI Pan-deng,DUANMU Qun-li,LEI Wen-tao,ZHAO Qi-hui.Reversed sural neurovascular fasciocutaneous flap for reconstruction of soft tissue defects of lower limbs[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(3):172~174 |
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