腓肠神经营养动脉逆行岛状皮瓣修复下肢远端皮肤缺损

　　【英文篇名】Repair of the skin defect on the remote part of the lower limb with the distally based sural nerve nutritional artery island flap

　　【作者中文名】马勇光; 王侠; 李健宁; 夏有辰; 秦荣生; 李东;

　　【作者英文名】MA Yongguang; WANG Xia; LI Jianning; et al.Department of Plastic Surgery; The 3rd Hospital of Beijing Medical University; Beijing 100083\;

　　【作者单位】北京医科大学第三临床医院成形外科;

　　【文献出处】中华整形外科杂志, CHINESE JOURNAL OF PLASTIC SURGERY AND BURNS, 编辑部邮箱 1999年 05期

　　期刊荣誉：

　　【关键词】下肢腓肠神经; 营养动脉; 岛状皮瓣; 下肢;

　　【英文关键词】Lower limb\ \ Sural nerve\ \ Nutritional artery \ \ Island flap;

　　【摘要】目的证实伴行腓肠神经的营养动脉呈丛状分布，与深浅筋膜内的动脉网广泛交通，并以此动脉为轴设计逆行岛状皮瓣修复下肢远端皮肤缺损。方法15只下肢尸体的解剖观察和7例临床实践。结果依据解剖学研究所设计的7例皮瓣全部成活。结论本手术成功率高，损伤小，代价低，操作简单，对下肢远端皮肤缺损的修复不失为一项可供选用的较理想方法。

　　【英文摘要】Objective\ The study was to verify the existence of the nutritional artery accompanying the sural nerve and to design a distally based island skin flap nourished by this artery for repairing skin defects on the remote part of the lower limb.Methods\ Anatomical study on 15 cadaver lower limbs and clinical applications in 7 cases were performed.Results\ The sural nerve nutritional artery is plexiform, forming anastomoses with the vascular network in the superficial and deep fascia. All 7 skin flaps dependi…