潘云川 王和驹 柴益民 吕国坤 陈彦 海口，海南省人民医院整形外科 570311 中华整形烧伤外科杂志 1999 0 15 3


    关键词：隐神经；岛状皮瓣；缺损 期刊 zhzxsswkzz 0 论 著 fur -->


    

【摘要】 目的 应用隐神经营养血管蒂逆行岛状皮瓣修复组织缺损。方法 以隐神经相伴行的大隐静脉体表投影为轴线，根据受区大小、部位及旋转点的位置设计逆行岛状皮瓣。结果 临床应用6例，修复小腿足踝部创面，皮瓣完全成活。皮瓣面积最大6cm×8cm。经6～20个月随访，效果满意。结论 根据皮神经的血管构筑与皮肤血供密切相关的特点，设计隐神经营养血管蒂逆行岛状皮瓣安全可靠，操作简便，为小腿创面修复提供了一种可靠的新方法。

Coverage of the lower leg defects using the reversed island skin flap based on the nutrient vessels of the saphenous nerve

PAN Yunchuan, WANG Heju, CHAI Yimin, et al.Department of Plastic Surgery, Hainan Provincial Hospital, Haikou 570311

【 Abstract 】 Objective To report the application of the distally based neurocutaneous saphenous island flap for the coverage of soft tissue defects in the lower limb. Methods According to the size and site of the defect and the rotation point, the flap was designed, and it was based on the arterial axis associated with the saphenous nerve and the greater saphenous vein.Results Six neurocutaneous saphenous island flaps were used and all survived. Flap dimensions were as large as 6 cm×8 cm. The results were satisfactory after 6 to 20 months' follow-up. Conclusion The vascularity of the saphenous nerve is closely connected with the vascularity of the skin. The flap supplied by the accompanying vessels of the cutaneous nerve can be utilized with good results.

    【 Key words 】 Saphenous nerve Island flap Defect

1996年6月以来 ......