腓肠神经营养血管逆行岛状筋膜皮瓣修复足跟部皮肤软组织缺损.pdf

福建医科大学硕士研究生毕业论文 腓肠神经营养血管逆行岛状筋膜皮瓣修复足跟部 皮肤软组织缺损 摘 要 目的 总结应用腓肠神经营养血管逆行岛状皮瓣修复足跟部皮肤软组织缺损 的临床疗效，探讨腓肠神经营养血管皮瓣临床应用特点。方法 2004 年2 月至2 011 年1 月，采用腓肠神经营养血管蒂逆行岛状筋膜皮瓣修复因各种原因引起的 足跟部皮肤软组织缺损病例14 例，切取之皮瓣大小为6cm×5 cm～15cm×11cm， 筋膜蒂长5～12 cm。结果 本组 14 例，12 例术后皮瓣完全成活，1 例皮瓣边缘 浅表坏死，经一段时间的换药治疗后伤口愈合，另1 例皮瓣远端部分坏死，二期 扩创植皮后伤口愈合。术后 12 例经2 个月到5 年的随访，皮瓣血运良好，弹性 佳，质地柔软，形成之足跟部外观比较满意，踩踏无明显不适感。结论 腓肠神 经营养血管逆行岛状筋膜皮瓣设计容易，操作简便，无需牺牲知名动脉，不需吻 合血管，且皮瓣可获得较长蒂部，旋转灵活，皮瓣成活率高，是足跟部软组织缺 损的较好的修复方法。 【关键词】腓肠神经营养皮瓣足跟部 软组织缺损 修复 2 福建医科大学硕士研究生毕业论文 Application of reversed sural neurovascular fasciocutaneous flap for reconstructing skin soft tissue defect of heel 【Abstract 】:Objective To summarize the clinical effect of reversed sural neurovascular fasciocutaneous flap for reconstruction of soft tissue defect of heel .To approach the clinical character of sural neurovascular fasciocutaneous flap .Methods From February 2004 to January 2011,there were 14cases with soft tissue defects by all kinds of causes in the heel were repaired by using. reversed sural neurovascular fasciocutaneous flap., The flap area ranged from 6cm×5cm to 15cm×11 cm, and the length of pedicle from 5 cm to 12 cm..Results In the 14 cases, there are 12 cases’ flaps were survived and the raw surface was healed well. Only 1 cases encountered with partial necrosis of marginal flap but healed after dressing..Anather 1 case with partial necrosis of distant flap but healed after expand operation again and dermatoplasty.12 cases were followed up for 2 months to 5 years. The texture elasticity and appearance of the flaps were excellent, it is not obvious unfit when you