摘要目的 观察腓肠神经营养血管皮瓣修复小腿远端及足踝部软组织缺损型创面的效果.方法 分析2014年6月至2017年6月37例在西北民族大学第一附属医院应用腓肠神经营养血管带蒂皮瓣修复小腿远端及足踝部软组织缺损创面患者的临床资料.其中男性31例,女性6例,年龄9 ～ 62岁,平均年龄(42.6±2.3)岁.小腿远端创面12例,足踝部创面25例.切取皮瓣大小9 cm×4 cm～ 19 cm×10 cm,术后予以抗感染、抗凝、换药等治疗,随访期间记录皮瓣术区两点辨别觉.结果 37例患者术后随访1～3年,平均(25±4)个月.37例皮瓣术后成活良好,仅1例腓肠神经营养血管带蒂皮瓣修复内踝创面术后因远端静脉回流障碍,反复出现张力性水泡,皮缘坏死,后期换药后创面自愈.所有皮瓣术后随访均未见溃疡及慢性渗出,局部感觉恢复,两点辨别觉为5～15 mm,平均为(11.2±1.7) mm,后期外观及功能恢复良好.结论 腓肠神经营养血管带蒂皮瓣修复小腿及足踝部软组织缺损创面安全可靠,效果显著.

abstractsObjective To observe the effects of sural nerve nutrition vessels-supported flap for reconstruction of distal lower leg and ankle soft tissue defects.Methods From June 2014 to June 2017,37 patients with calf distal and ankle soft tissue defect were repaired with sural nerve nutrition vessels-supported flap,of them 12 cases with calf distal soft tissue defect wounds and 25 cases with ankle soft tissue defect wounds.The scope of flaps was 9 cm × 4 cm to 18 cm × 9 cm,anti-infection,anti-freezing and dressing treatments were carried out after operation.The results of two-point discrimination among reexamination were recorded.Results All the flaps survived without ulcer and effusion,only 1 flap for reconstruction of medial malleolus swelled and deactivated at the beginning while it recovered with proper dressings.During the follow-up periods,all the flaps kept favorable feelings,aspects and functions,and the two-point discrimination was 5 to 15 mm [averaged (11.2 ± 1.7) mm].Conclusion Sural nerve nutrition vesselssupported flap brings significant effects with excellent safety and reliability in repairing calf and ankle soft tissue defects.