以远端损伤的腓浅神经为蒂的逆行皮瓣修复胫前软组织缺损

摘要

目的：探讨以远端损伤的腓浅神经为蒂的逆行皮瓣修复胫前软组织缺损的临床效果。方法2006年4月-2015年11月，应用远端损伤腓浅神经为蒂的逆行皮瓣修复胫前软组织缺损12例。创面面积：2.0 cm×4.0 cm～5.0 cm×7.0 cm。皮瓣切取面积：4.5 cm×6.0 cm～7.0 cm×9.0 cm。结果术后皮瓣全部成活。伤口出现脓性渗出1例，经换药伤口愈合。随访4～36个月，伤口愈合良好，皮瓣颜色正常，外形满意，皮瓣质地良好。供区感觉障碍无进一步扩大和加重。结论应用远端损伤的腓浅神经为蒂的逆行皮瓣血供稳定，不增加供区神经功能的进一步损害，是修复胫前软组织缺损的可靠方法。%Objective To explore the clinical effect of repairing anterior tibial soft tissue defect by using the reverse flap pedicled with distally injured superficial peroneal nerve. Methods 12 cases with anterior tibial soft tissue defect were repaired by the reverse flap pedicled with distally injured superficial peroneal nerve. The wound area was 2.0 cm ×4.0 cm~5.0 cm ×7.0 cm. Flap area was 4.5 cm ×6.0 cm~7.0 cm ×9.0 cm. Results All flaps grew well. The wound occurred effusion in 1 case, and healed after dressing change .The patients were followed up from 4 to 36 months with good results. The sensory disturbance of donor zone did not extended and exacerbation. Conclusion It has stable blood supply and does not increase the damage to donor never function, that using the reverse flap pedicled with distally injured superficial peroneal nerve. And it is a reliable method for repairing anterior tibial soft tissue defect.