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目的：观察逆行隐神经营养血管皮瓣修复足踝部溃疡的疗效。方法应用逆行隐神经营养血管皮瓣转移修复5例足踝部慢性溃疡创面。结果5例皮瓣全部成活，术后皮瓣血运良好，静脉回流正常；供区创面愈合良好，移植皮片成活良好。全部病例术后随访1年，皮瓣无明显挛缩，耐磨擦，无溃疡；供区创面外形良好，局部无破溃，无渗出。结论逆行隐神经营养血管皮瓣具有穿支血管位置恒定，手术操作简便，血供可靠，皮瓣厚度适中，耐磨擦，对供区影响不大等优点，是修复足踝部慢性溃疡的有效方法。“,”Objective To observe the ef ect of reverse saphenous nerve neurocutaneous flaps for repair of foot ankle ulcers. Methods Application of reverse saphenous nerve neurocutaneous flaps transfer to repair chronic ulcer wound 5 cases of foot ankle ulcers. Results 5 cases al flaps survived,Postoperative flap has good blood supply and normal Venous return;Donor sites healed wel and skin grafts survived wel . Al cases were fol owed up for 1 year after surgery,Skin flaps had no obvious contracture and ulcer,friction resistance.Donor sites had a good outline and skin graft without ulceration. Conclusion It is an ef ective method in repair of chronic ulcer wounds on foot ankle by reverse saphenous nerve neurocutaneous flaps,which has the advantages of stable perforator vessel position,convenient operation,abundant blood supply,moderate thickness skin flap, friction resistance and less impact on donor area, etc.