| 顺行及逆行腓肠神经营养血管皮瓣的临床应用 |
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Received:September 13, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 杨朝晖 |
YANG Zhao-hui |
邯郸市中心医院骨一科,河北邯郸056001 |
Department of Orthopaedisc,the Center Hospial of Handan,Handan 056001,Hebei,China |
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| 刘利 |
LIU Li |
邯郸市中心医院骨一科,河北邯郸056001 |
Department of Orthopaedisc,the Center Hospial of Handan,Handan 056001,Hebei,China |
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| 刘振武 |
LIU Zhen-wu |
邯郸市中心医院骨一科,河北邯郸056001 |
Department of Orthopaedisc,the Center Hospial of Handan,Handan 056001,Hebei,China |
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| 杨朝峰 |
YING Zhao-feng |
衡水市枣强县医院 |
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| 尤月江 |
YOU Yue-jiang |
邯郸市中心医院骨一科,河北邯郸056001 |
Department of Orthopaedisc,the Center Hospial of Handan,Handan 056001,Hebei,China |
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| 颜继英 |
YAN Ji-ying |
邯郸市中心医院骨一科,河北邯郸056001 |
Department of Orthopaedisc,the Center Hospial of Handan,Handan 056001,Hebei,China |
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| 王爱巧 |
WANG Ai-qiao |
邯郸市中心医院骨一科,河北邯郸056001 |
Department of Orthopaedisc,the Center Hospial of Handan,Handan 056001,Hebei,China |
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| 武润平 |
WU Run-ping |
邯郸市中心医院骨一科,河北邯郸056001 |
Department of Orthopaedisc,the Center Hospial of Handan,Handan 056001,Hebei,China |
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| 期刊信息：《中国骨伤》2006年19卷，第7期，第408-410页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨腓肠神经营养血管皮瓣顺行及逆行转移的临床特点。
方法:应用顺行（4例）及逆行（15例）腓肠神经营养血管皮瓣修复下肢软组织缺损19例,男14例,女5例;年龄16~55岁。其中足背5例,足跟3例,踝部1例,胫骨远端6例,胫骨近端及膝部4例。8例为避免神经血管束与皮瓣脱套,连同少量腓肠肌纤维一起带入皮瓣;3例采用不带皮切取筋膜瓣的方式,以改善静脉回流。皮瓣切取面积6cm×5cm~16cm×8cm。
结果:15例皮瓣成活,随访2个月~1年,皮瓣质地满意。2例部分坏死,2例皮瓣有水泡、边缘坏死或部分表皮坏死。
结论:腓肠神经营养血管皮瓣血运丰富,覆盖范围广,是修复下肢软组织缺损的理想皮瓣。分离皮瓣时注意保护上下节段动脉的血供,同时改善皮瓣的静脉回流,可大大提高皮瓣的存活率。 |
| [关键词]:腓肠神经 皮瓣 组织缺损 下肢 |
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| Clinical application of proximal or distal sural neurovascular flap |
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Abstract:
Objective:To study the clinical characteristics of proximal or distal sural neurovascular flap.
Methods:19 cases(14 males and 15 females,the age was 16-55 years) of soft tissue defect of lower extremity were repaired with proximal(4 cases) or distal(15 cases) sural neurovascular flap,including 5 cases in foot dorsum,3 in heel,1 in malleous,6 in distal tibia,4 in knee and proximal tibia.Less gastrocnemius muscle fiber of 8 cases were put into flap in order to avoid sepavation of vascular bundle and flap;fascial flap without skin of 3 cases for amelioration of venous return.The area of flap was from 6 cm×5 cm to 16 cm×8 cm.
Results:The flaps of 15 cases survived.Living flaps were followed-up from 2 months to 1 year,the result of the flaps were satisfactory.2 flaps had partially necrosis;2 flaps had bubble and necrosis in edge or part scarfskin.
Conclusion:The sural neurovascular flap has sufficient blood circulation,it is an ideal flap for the repair of soft tissue defect of lower extremity.Protecting the arterial blood supply of the upper-lower segmental and improving veneus return during operation can increase flap survival rate. |
| KEYWORDS:Sural nerve Flap Tissue defect Lower extremity |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杨朝晖,刘利,刘振武,杨朝峰,尤月江,颜继英,王爱巧,武润平.顺行及逆行腓肠神经营养血管皮瓣的临床应用[J].中国骨伤,2006,19(7):408~410 |
| 英文格式: | YANG Zhao-hui,LIU Li,LIU Zhen-wu,YING Zhao-feng,YOU Yue-jiang,YAN Ji-ying,WANG Ai-qiao,WU Run-ping.Clinical application of proximal or distal sural neurovascular flap[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(7):408~410 |
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