足背内侧皮神经营养血管皮瓣修复足背远端创面疗效观察
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摘要
目的观察足背内侧皮神经营养血管皮瓣修复足背远端创面的临床疗效。方法对2010年11月—2015年12月中同石油天然气集团公司中心医院整形外科收治的16例足外伤患者采用足背内侧皮神经营养血管皮瓣修复治疗,观察治疗效果。结果足背远端创面Ⅰ期愈合者15例;因皮瓣边缘部分坏死,Ⅱ期愈合者1例。患者出院后随访2个月~4年,皮瓣质地及弹性良好,与周围肤色接近,足背外观及功能恢复满意,其中随访2年以上者,皮瓣浅感觉均恢复正常。结论足背内侧皮神经营养血管皮瓣修复足背远端创面,操作简便,疗效满意,值得临床推广应用。
Objective To observe the clinical efficacy of neurocutaneous vascular flaps from medial foot dorsum in repairing distal fool dorsal wounds.Methods Sixteen patients with foot trauma admitted to the Plastic Surgery Department of CNPC Central Hospital between November 2010 and December 2015 were treated with neurocutaneous vascular flaps from medial foot dorsum,and the therapeutic effect was observed.Results Among the patients,15 patients achieved primary healing and secondary healing occurred in only one patient due to partial necrosis at flap peripheries.The follow-up of two months to four years after the discharge showed the flaps were good in texture and elasticity and almost in the same color as the surrounding skin,with satisfactory dorsal appearance and function.For those who have been followed up for more than two years,the flap superficial sensation has returned to normal.Conclusion Use of Neurocutaneous vascular flaps from medial foot dorsum in repairing distal foot dorsal wounds should be promoted in clinical practice due to its easy and simple operation and satisfactory therapeutic effect.
Objective To observe the clinical efficacy of neurocutaneous vascular flaps from medial foot dorsum in repairing distal fool dorsal wounds.Methods Sixteen patients with foot trauma admitted to the Plastic Surgery Department of CNPC Central Hospital between November 2010 and December 2015 were treated with neurocutaneous vascular flaps from medial foot dorsum,and the therapeutic effect was observed.Results Among the patients,15 patients achieved primary healing and secondary healing occurred in only one patient due to partial necrosis at flap peripheries.The follow-up of two months to four years after the discharge showed the flaps were good in texture and elasticity and almost in the same color as the surrounding skin,with satisfactory dorsal appearance and function.For those who have been followed up for more than two years,the flap superficial sensation has returned to normal.Conclusion Use of Neurocutaneous vascular flaps from medial foot dorsum in repairing distal foot dorsal wounds should be promoted in clinical practice due to its easy and simple operation and satisfactory therapeutic effect.
引文
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[3]钟世镇,徐永清,周长满,等.皮神经营养m管皮瓣解剖基础及命名[J].中华显微外科杂志.1999.22(1):37-39.
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[7]苗平,阎永起,周明武.足背内侧皮神经内侧支营养血管皮瓣逆行修复趾缺损[J].中华显微外科杂志,2001,24(2):156.
[8]齐杰,刘艳杰,李雯,等.足背内侧皮神经营养血管皮瓣修复足拇趾软组织缺损[J].中华整形外科杂志,2012,28(2):136-138.
[9]黄群武,廖进民,吕端远,等.带足背内侧皮神经及其营养血管筋膜皮瓣的应用解剖学[J].中国临床解剖学杂志,1998,16(3):209-211.
[10]冯运垒,招健明,冯仕华.足背内侧皮神经营养血管皮瓣修复足远端创面应用解剖[J].中国临床解剖学杂志,2005,23(4):370-372.
[11]Li Y,Xu J,Zhang XZ.Lowering the pivot point of sural neurofasciocutaneous flaps to reconstruct deep electrical burn wounds in the distal foot[J].Burns,2012,39(4):808-813.
[12]Huang W,Liu D,Robb GL,et al.Distally based dorsal pedal neurocutaneous flap for forefoot coverage[J].Ann Plast Surg,2011,66(3):235-240.
[13]舒申友.张明君,唐世杰,等.足背皮神经营养血管蒂皮瓣修复足部软组织缺损[J].汕头大学医学院学报,2013.26(3):154-155.
[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]钟世镇,徐永清,周长满,等.皮神经营养m管皮瓣解剖基础及命名[J].中华显微外科杂志.1999.22(1):37-39.
[4]刘茂文,冯承臣,陈沂民,等.带足背皮神经营养血管蒂岛状皮瓣的临床应用[J].中华显微外科杂志,1998,21(1):57-58.
[5]吴农欣,徐永清。李军,等.足背内侧皮神经营养血管皮瓣的解剖及临床应用[J].中华显微外科杂志,2006,29(2):86-88.
[6]李东柱,周祥吉,孔祥鹏,等.足背内侧皮神经营养血管皮瓣的临床应用[J].中国现代手术学杂志,2008,12(1):45-46.
[7]苗平,阎永起,周明武.足背内侧皮神经内侧支营养血管皮瓣逆行修复趾缺损[J].中华显微外科杂志,2001,24(2):156.
[8]齐杰,刘艳杰,李雯,等.足背内侧皮神经营养血管皮瓣修复足拇趾软组织缺损[J].中华整形外科杂志,2012,28(2):136-138.
[9]黄群武,廖进民,吕端远,等.带足背内侧皮神经及其营养血管筋膜皮瓣的应用解剖学[J].中国临床解剖学杂志,1998,16(3):209-211.
[10]冯运垒,招健明,冯仕华.足背内侧皮神经营养血管皮瓣修复足远端创面应用解剖[J].中国临床解剖学杂志,2005,23(4):370-372.
[11]Li Y,Xu J,Zhang XZ.Lowering the pivot point of sural neurofasciocutaneous flaps to reconstruct deep electrical burn wounds in the distal foot[J].Burns,2012,39(4):808-813.
[12]Huang W,Liu D,Robb GL,et al.Distally based dorsal pedal neurocutaneous flap for forefoot coverage[J].Ann Plast Surg,2011,66(3):235-240.
[13]舒申友.张明君,唐世杰,等.足背皮神经营养血管蒂皮瓣修复足部软组织缺损[J].汕头大学医学院学报,2013.26(3):154-155.
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