腓肠神经营养血管逆行岛状皮瓣修复内踝皮肤缺损的临床观察
Sural neurovascular island flap to repair the skin defect of medial malleolus
曹爱兵 1王荣 2叶碧武1
作者信息
- 1. 518116 广东省深圳市龙岗中心医院手外科
- 2. 518020深圳市康宁医院
- 折叠
摘要
目的：探讨腓肠神经营养血管逆行岛状皮瓣修复术对内踝皮肤缺损的疗效。方法将2012年2月2013年2月我院内踝皮肤缺损患者36例分为两组各18例，观察组行腓肠神经营养血管逆行岛状皮瓣修复术，对照组行邻近皮瓣修复术，对比两组术后皮瓣成活情况。结果观察组成活率明显高于对照组，坏死率显著低于对照组，下床平均所用时间、平均住院时间少于对照组，差异有统计学意义(P <0.05)。结论腓肠神经营养血管逆行岛状皮瓣修复术治疗内踝皮肤缺损患者可取良效，术后坏死情况通过及时对症处理能有效治愈。
Abstract
Objective To investigate the effect of repair of reversed island flap pedicled with nutrient vessels of sural nerve in treatment of medial malleolus skin defects. Methods Chosed 36 patients with skin defect from February 2012 to February 2013 in our hospital, with the families and the patients agreed and signed the informed consent, 36 patients were divided into observation group(18 cases) and control group(18 cases), observation group with repair underwent sural neurocutaneous island flap, control group with adjacent flap repair, compared postoperative flap survival in two groups. Results The survival rate of observation group was significantly higher than control group, the necrosis rate was significantly lower than control group(P <0.05);the average time to get out of bed in control group, the average hospitalization time was lower than observation group(P <0.05). Conclusion Repair of reversed island flap pedicled with nutrient vessels of sural nerve by patients with medial malleolusskin defect, can obtain good effect, postoperative necrosis through timely symptomatic treatment can effectively cure.
关键词
腓肠神经/营养血管/逆行岛状皮瓣修复术/内踝皮肤缺损Key words
Sural nerve/Nutrient vessel/Repair of the medialretrograde island flap/Skin defect引用本文复制引用
出版年
2013
NETL
NSTL
维普
万方数据