Pan Y, Wang H, Chai Y
Department of Plastic Surgery, Hainan Provincial Hospital, Haikou 570311.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 May;15(3):187-9.
To report the application of the distally based neurocutaneous saphenous island flap for the coverage of soft tissue defects in the lower limb.
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.
Six neurocutaneous saphenous island flaps were used and all survived. Flap dimensions were as large as 6 cm x 8 cm. The results were satisfactory after 6 to 20 months' follow-up.
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.
报道远端蒂隐神经营养血管岛状皮瓣在下肢软组织缺损修复中的应用。
根据缺损大小、部位及旋转点，以隐神经及大隐静脉伴行血管为轴心设计皮瓣。
应用6例隐神经营养血管岛状皮瓣，全部成活。皮瓣最大面积为6 cm×8 cm。随访6～20个月，效果满意。
隐神经的血供与皮肤血供密切相关，以皮神经伴行血管为蒂的皮瓣可获得较好的应用效果。
