游离腓肠外侧皮神经营养血管皮瓣的临床应用

详细信息    查看全文 | 推荐本文 |

英文篇名：Clinical application of free lateral sural neurocutaneous vascular flap 作者：邓宇杰 ; 吴松 ; 邹玮君 ; 罗伟渊 ; 阳立 ; 林坤波 ; 黄思达 英文作者：DENG Yujie WU Song ZOU Weijun LUO Weiyuan YANG Li LIN Kunbo HUANG Sida Department of Orthopedics, Fenggang Hospital of Dongguan City in Guangdong Province, Dongguan 523690, China 关键词：腓肠外侧皮神经 ; 营养血管链 ; 穿支 ; 临床应用 英文关键词：Lateral sural cutaneous nerve; Nutrient vessel chain; Perforator; Clinical application 中文刊名：ZGUD 英文刊名：China Modern Medicine 机构：广东省东莞市凤岗医院骨科; 出版日期：2013-06-08 出版单位：中国当代医药 年：2013 期：v.20;No.323 基金：广东省东莞市科技计划项目(201210515000135) 语种：中文; 页：ZGUD201316020 页数：2 CN：16 ISSN：11-5786/R 分类号：43-44

摘要

目的探讨穿支供血的腓肠外侧皮神经营养血管皮瓣游离修复手掌背及其他较大部位皮肤软组织缺损的临床应用效果。方法选取严重手掌或者手背较大面积的软组织缺损创面患者16例,创面清创后以小腿中段腓动脉穿支为蒂、腓肠外侧皮神经营养血管链为轴心的皮瓣,游离移植修复软组织缺损创面,术后观察皮瓣成活情况,总结穿支血管的切取、皮瓣与受区血管的吻合搭配等技巧。结果临床治疗16例患者,皮瓣面积最大14cm×8cm,均以2支穿支为供血血管,皮瓣全部成活。结论腓肠外侧皮神经营养血管皮瓣轴心血管链及供血穿支解剖恒定,皮瓣质地薄软,血运丰富,供受区均不损伤主干血管,可作为修复较大面积的手掌背及其他部位软组织缺损创面的理想选择。
        Objective To investigate the clinical effect of perforators lateral sural neurocutaneous vascular flap free repair palm dorsal and other large area skin and soft tissue defect. Methods Regarded perforator pedicled, lateral sural cutaneous nerve nutrient vessel chain as the axis of the flap, and free repaired palm dorsal and other large parts of the defect of soft tissue. Observed flap cut scope, summarized the incision of the perforator flap and recipient vessel anastomosis collocation skills. Results The largest skin flap area of 16 cases was 14 cm ×8 cm, operated 2 branches as blood vessel, all flaps survived. Conclusion The lateral sural neurocutaneous vascular flap axis vessel chain and blood wear division section constantly. The flap is thin and soft with rich blood supply, can be used to repair large area palm back and other parts of the ideal soft tissue defects.

引文

[1]Bertelli J,Khoury Z.Vascularization of lateral and medial cutaneous nerves of the forearm:Anatomic basis of neuro-cutaneous island flap on the elbow[J].Surg Radiol Anat,1991,13(4):345-346.
    [2]Masquelet AC,Romana MC,Wolf G.Skin island flaps supplied by the vascular axis of the sensitive superficial nerves:anatomic study and clinical experience in the leg[J].Plast Reconstr Surg,1992,89(6):1115-1121.
    [3]陈发春,徐萍,汪同祖,等.腓肠神经营养血管皮瓣临床应用[J].中华整形外科杂志,2004,20(5):397-398.
    [4]朱家恺,卢传新,王书成,等.周围神经外科学[J].海口:三环出版社,1991:190.
    [5]陈胜华,谭建国,唐茂林,等.腓肠外侧皮神经营养血管岛状筋膜皮瓣的解剖学基础[J].中国临床解剖学杂志,2004,22(1):22-25.
    [6]宋修军,邵旭建,曲永明,等.小腿外侧腓动脉皮支皮瓣的解剖与临床应用[J].中华整形外科杂志,2006,22(4):252-255.
    [7]柴益民,程天庆,汪春阳,等.吻合血管复合腓骨穿支皮瓣的应用解剖及临床应用[J].中华显微外科杂志,2009,32:113.