探讨腓肠神经营养血管皮瓣的临床应用和改良

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Abstract ObjectiveTo explore the clinical application of sural neurovascular retrograde flap,to summarize and improve the surgical method,and to further improve the survival of the flap.Methods60 cases of forefoot skin tissue defect caused by trauma from February 2015 to January 2017 in our hospital were selected as the subjects,according to the different surgical methods,all patients were divided into the observation group and the control group,30 cases in each group.The observation group was used modified sural neurovascular nutrition flap repair method,the control group was used traditional sural neurovascular nutrition flap repair method.The clinical efficacy,wound healing time and complications occurred were observed between the two groups.ResultsThe total effective rate of the observation group was 100.0%,which was higher than 86.7%of the control group,the difference was statistically significant (P＜0.05).The wound healing time of the observation group was significantly lower than that in the control group,with significant difference (P＜0.05).The incidence of complications of the observation group was 0.0%,which was lower than 16.7%of the control group,the difference was statistically significant(P＜0.05).ConclusionThe sural neurovascular nutrition flap is an ideal method for repairing the defects of the forefoot skin tissue defect with the tendon,bone and blood vessels,it is more beneficial to the survival of the flap and improve the recovery effect through the improving surgical method.

Key words： Sural nerve Surgical flap Repair surgery Skin tissue defect

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	Articles by authors
	HONG Qiao-yang
	CHEN Jian-rui
	ZHANG Xue-min
	XU Geng-tian
	GUO Yue-yue

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HONG Qiao-yang,CHEN Jian-rui,ZHANG Xue-min, et al. Exploration of clinical application and improvement of sural neurovascular flap[J]. 中国当代医药, 2017, 24(34): 19-21转27.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I34/19

[1]	招健明，吴业坤，冯运垒.吻合小隐静脉低旋转点腓肠神经营养血管皮瓣修复足部软组织缺损[J].中华显微外科杂志，2014，37（2）：199-200.
[2]	赵建强，车永琦，王军成，等.应用交腿腓肠神经营养血管皮瓣修复踝周皮肤缺损[J].中华显微外科杂志，2014，37（6）：615-616.
[3]	马文占.腓肠神经营养血管皮瓣的临床应用[J].青海医药杂志，2012，42（11）：14-15.
[4]	Bertelli JA，Khoug Z.Neaurocutaneous island fiap in the hand，anatomical basis and preliminary[J].Br J Plast Surg，1992，45（8）：86-590.
[5]	Masquelet AC，Romana MC，Wolf G.Skin island flap supplied by thevsacular axis of the sensitive superficial nerves：anatomic study and clinical experience in the leg[J].Plast Reconstr Surg，1992，89（6）：1115-1121.
[6]	潘敬舜，刘生和.改良腓肠神经营养血管逆行皮瓣修复踝部组织缺损中的临床运用[J].创伤外科杂志，2016，18（4）：214-216.
[7]	冯剑，李学拥，吕小星，等.腓肠神经营养血管蒂逆行岛状皮瓣修复足末端深度冻伤创面[J].中国修复重建外科杂志，2013，27（3）：376-377.
[8]	刘伟，马国武，薛俊才.逆行腓肠神经营养血管皮瓣在足跟部软组织缺损中的应用[J].河南外科学杂志，2016，22（2）：109-110.
[9]	高士强，陈善亮，佟林冬.腓肠神经营养血管皮瓣修复小腿及足踝部皮肤软组织缺损[J].实用手外科杂志，2013，27（2）：181-182.
[10]	侯春，王肃生，梁刚，等.腓肠神经营养血管皮瓣和胫后动脉穿支皮瓣修复足踝部软组织缺损的临床应用[J].现代诊断与治疗，2016，27（4）：599-601.
[11]	Hasegave M，Torii S，Katoh H，et al.The distally based superficial sural artery flap[J].Plast Reconstr Surg，1994，93（5）：1012-1014.
[12]	Chang SM，Hou CL，Zhang F，et al.Distally basedradial for earmflap with preservation of the radia lartery，anatomic,experimental and clinical studies[J].Microsurgery，2003，23（4）：328-330.
[13]	Wen C，Mark S，Mizel MD.What′s new in foot and ankle surgery[J].Bone Joint Surg Am，2006，88（4）：909-912.
[14]	徐永清，李军，丁晶.不同皮神经营养血管皮瓣的临床应用[J].中华显微外科杂志，2007，21（11）：280-282.
[15]	Nakajima H，lmanishi N，Fukuzumi S.Accompanying arteries of the cutaneous veins and cutaneous nerves in the extremities：anatomical study and a concept of the venoadipofascial andPor neuroadipofascical pedicled fasciocutaneous flap[J].Plast Reconstr Surg，1998，102（3）：778-781.