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腓肠神经营养血管皮瓣逆行修复累及前足的足踝部软组织缺损
Hits: 2048   Download times: 1303   Received:June 25, 2008    
作者Author单位UnitE-Mail
郑继会 ZHENG Ji-hui 沧州中西医结合医院骨三科,河北 沧州 061001 Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001,Hebei,China  
马杰 MA Jie 沧州中西医结合医院骨三科,河北 沧州 061001 Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001,Hebei,China  
苑娜 YUAN Na 沧州中西医结合医院骨三科,河北 沧州 061001 Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001,Hebei,China zhengyuanna@sohu.com 
胡思斌 HU Si-bin 沧州中西医结合医院骨三科,河北 沧州 061001 Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001,Hebei,China  
赵均福 ZHAO Jun-fu 沧州中西医结合医院骨三科,河北 沧州 061001 Cangzhou Combination of Chinese Traditional and Western Medicine Hospital, Cangzhou 061001,Hebei,China  
期刊信息:《中国骨伤》2008年21卷,第10期,第757-758页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨应用腓肠神经营养血管皮瓣治疗累及前足的足踝部软组织缺损的手术方法及临床效果。

方法:自1999年3月至2004年11月应用腓肠神经营养血管皮瓣治疗累及前足的足踝部软组织缺损19例,男17例,女2例;年龄17~49岁,平均31.4岁;左足11例,右足8例。切取皮瓣面积最大30 cm×18 cm,最小18 cm×9 cm.

结果:术后皮瓣全部成活,1例皮缘坏死,换药愈合。随访6个月~2年,平均18个月,皮瓣外形满意,功能良好。

结论:腓肠神经营养血管皮瓣切取简单,成活率高,是修复累及前足的足踝部软组织缺损的有效方法。
[关键词]:腓肠神经    软组织损伤  外科皮瓣
 
Repair of the soft tissue defects of the anterior foot and the ankle with the reversed sural neurocutaneous flap
Abstract:

Objective: To investigate the operative method and effect of the reversed sural neurocutaneous flap in repairing soft tissue defects of the anterior foot and the ankle.

Methods: From March 1999 to November 2004,19 cases (17 male,2 female)of soft tissue defects of the anterior foot and the ankle were repaired with the reversed sural neurocutaneous flaps. The flap sizes range from 18 cm×9 cm to 30 cm×18 cm.

Results: All flaps survived well,while 1 flap had distal partial necrosis and healed after dressing change. The follow-up from 6 months to 2 years showed that all flaps were satisfactory.

Conclusion: Sural neurocutaneous flap is easy to get and to survive. It is an effective method to repair the soft tissue defects of the anterior foot and the ankle.
KEYWORDS:Sural nerve  Foot  Soft tissue injuries  Surgical flaps
 
引用本文,请按以下格式著录参考文献:
中文格式:郑继会,马杰,苑娜,胡思斌,赵均福.腓肠神经营养血管皮瓣逆行修复累及前足的足踝部软组织缺损[J].中国骨伤,2008,21(10):757~758
英文格式:ZHENG Ji-hui,MA Jie,YUAN Na,HU Si-bin,ZHAO Jun-fu.Repair of the soft tissue defects of the anterior foot and the ankle with the reversed sural neurocutaneous flap[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(10):757~758
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