摘要
目的评价腓动脉穿支皮瓣、腓肠神经营养血管皮瓣和胫后动脉穿支皮瓣修复足踝部创面的临床疗效,为临床的皮瓣选用提供参考。方法对应用腓动脉穿支皮瓣10例、腓肠神经营养血管皮瓣11例和胫后动脉内侧皮穿支皮瓣9例修复足部创面的临床效果进行随访,比较分析3种皮瓣AOFAS踝-后足评分、损伤部位、触觉、压觉(Semmes-Weinstein单丝法)、动态和静态两点分辨觉(m2PD、s2PD)、温度觉、臃肿程度和瘢痕挛缩程度。结果 3种皮瓣的AOFAS踝-后足评分、瘢痕挛缩程度、皮瓣的臃肿程度、触觉、压觉、两点分辨觉和温度觉差异均无统计学意义;腓肠神经营养血管皮瓣的臃肿程度高于其他2种皮瓣,差异具有统计学意义(P<0.05)。结论 3种皮瓣各有特点,临床应该根据各种客观要求进行选择。
Objective To evaluate the clinical results of posterior interosseous artery flap,anterolateral thigh flap and medial sural artery perforator flap for coverage of soft tissue defects in the foot and to provide useful guidance on clinical selection of flaps. Methods Thirty cases with soft tissue defects of the foot repaired with these three different flaps were followed up and evaluated AOFAS Ankle Hindfoot Scores,touch and pressure（Semmes-Weinstein monofilament test）,2-point discrimination（motion 2PD and static 2PD）,thermal sensation,flap bulkiness and donor site contracture were recorded and analyzed statistically.Results There were no significant differences in all detected data among these three different flaps.Conclusion The posterior interosseous artery flap,anterolateral thigh flap and medial sural artery perforator flap have their own characteristics.Flap selection should be evidence-based to suitable individual case and clinical requirement.
出处
《新疆医科大学学报》
CAS
2011年第2期193-196,共4页
Journal of Xinjiang Medical University
关键词
足外伤
外科皮瓣
治疗结果
foot injuries
surgical flaps
treatment outcome
