摘要
目的观察足踝部皮肤软组织缺损行腓动脉穿支皮瓣术的修复效果。方法对我院2014年3月~2016年4月收治的23例足踝部皮肤软组织缺损患者采用腓动脉穿支皮瓣术进行修复,观察记录踝关节功能、创面愈合效果及皮瓣成活率。结果术后创面Ⅰ期愈合,皮瓣成活率100%,踝关节功能优良率95.65%;治疗后采用美国足踝外科协会(AOFAS)足功能评分为(90.19±8.83)分,高于治疗前的(34.12±11.88)分,差异有统计学意义(P<0.05)。结论腓动脉终末穿支皮瓣修复足踝部皮肤软组织缺损的临床效果良好,能显著改善踝关节功能,从而提高足部功能。
Objective To observe the effect of peroneal artery perforator flap in the treatment of ankle skin soft tissue defect. Methods 23 patients with foot and ankle skin and soft tissue defects were treated with peroneal perforator flap in our hospital 2014~2016.The function of ankle joint,wound healing and survival rate of the flap were recorded. Results The primary healing of the wound was achieved.The survival rate of the flap was100%,and the excellent rate of ankle joint function was 95.65%.After treatment,AOFAS(90.19+8.83)was higher than that before treatment(34.12+11.88)(P<0.05). Conclusion The peroneal artery end perforator flap repair is simple and convenient,and can improve the ankle function and the foot function of the patients.
出处
《蛇志》
2017年第4期481-482,共2页
Journal of Snake
关键词
腓动脉穿支皮瓣
足踝部
皮肤软组织缺损
peroneal artery perforator flap
ankle foot
skin and soft tissue defect
