股后皮神经营养血管皮瓣解剖特点及临床应用.docVIP

股后皮神经营养血管皮瓣解剖特点及临床应用[摘要]目的：探讨股后皮神经营养血管蒂皮瓣的解剖特点与临床应用疗效。方法：2005年7月～2007年5月共应用股后皮神经营养血管皮瓣治疗了23例病人应用24个皮瓣，修复髋关节周围及骶尾部皮肤缺损。皮瓣最大面积20cm×10cm。结果：本组皮瓣24例全部成活。经7～24个月随访,皮瓣感觉、外形、质地良好。结论：此类皮瓣动脉血供可靠，不损伤主干血管，操作简单，能重建局部感觉，可顺、逆行移位,损伤较小，临床应用效果满意。是一种修复骶尾部和髋关节周围软组织缺损的较好方法。 [关键词]股后皮神经；臀下动脉；皮神经营养血管皮瓣；岛状皮瓣 [中图分类号]R622[文献标识码]A[文章编号]1008-6455（2008）07-0978-03 Anatomical basis and clinical application of posterior femoral cutaneous neurovascularflap ( 23 cases report) WANG Lei1,LI Chao1,CHEN Fu-guo2,HAO Zong-bin1,DAI Chuan-chang3,QI Zuo-liang3,WANG Wei3 (1. First Department of Surgery,Affiliated Huxi Hospital of Jining Medical College,Jining 274300,Shandong,China; 2. Wucheng Second Hospital of Shandong; 3. Department of Plastic Surgery,Ninth People’s Hospital,the Second Medical University of Shanghai) Abstract：ObjectiveTo study the anatomical basis and the clinic result ofnuerocutaneous vascular flap for reconstruction of skin and soft tissue defect of gluteal-sacral and around hip.MethodsFromJuly 2005 to May 2007, 24 posterior femoral cutaneous neurovascular flaps were performed in 23 patients to repair the soft tissue defects of gluteal-sacral and around hip. The size of this flap was 20cm×10cm.ResultsAll flaps of 24sides in 23 cases survived. During a follow－up period of 7～24 months after operation,good to excellent results were obtained in all cases, such as good appearance, soft texture.ConclusionFlaps of this kind have advantages as follow:the reliable blood supply，avoidance of sacrificing the major arteries，reconstruction of sensation，simply procedure，lesser injuries for donor area，reverse or anterograde flow transfer. It can get satisfactory result with application properly. It is an optimal approach to repairing the soft tissue defects of gluteal-sacral and around hip. Key words: posteriror femoral cutaneous nerve；inferior gluteal artery；cutaneous neurovascular flap；island flap 我院自2005年7月～2007年5月共应用股后皮神经营养血管皮瓣（posterior femoral cutaneous neurovascular flap