Fan Q S
Center of Traumatic Surgery, 89th Hospital of People's Liberation Army Shandong.
Zhonghua Wai Ke Za Zhi. 1991 Nov;29(11):673-4, 717.
Forty-four patients with acute skin loss or chronic scarring around ankle were treated by skin transplantation for covering the skin defect or replacing the scar tissue as well as restoring sensation. 13 of them were treated by pedicled sensorineural island flap, 23 by sensorineural free flap, and 8 transplanting sensorineural band into the skin flap. Follow-up study for 2 to 6 years revealed that sensation of pain, temperature and touch was normal in each flap, with 2-point discrimination of 20 to 60 mm. Trophic ulcer never developed in any case though on weight-bearing at least for 6 hours daily. Block of the sensory nerve proximal to the flap with 2% procaine in 6 cases resulted in senselessness over the flap area. The surgical procedures and the merits of every one of the three types of operation were described and discussed.
44例踝关节周围急性皮肤缺损或慢性瘢痕患者接受了皮肤移植治疗，以覆盖皮肤缺损、替代瘢痕组织并恢复感觉功能。其中13例采用带蒂感觉神经岛状皮瓣治疗，23例采用感觉神经游离皮瓣治疗，8例将感觉神经束移植到皮瓣中。随访2至6年发现，各皮瓣的痛觉、温度觉和触觉均正常，两点辨别觉为20至60毫米。尽管每天至少负重6小时，但无一例发生营养性溃疡。6例在皮瓣近端用2%普鲁卡因阻滞感觉神经后，皮瓣区域出现感觉丧失。对三种手术方式的手术操作及各自优点进行了描述和讨论。
