摘要
目的:分析低旋转点逆行外踝上皮瓣修复在跟骨术后皮肤软组织坏死缺损中的应用效果。方法:回顾性分析2018年1月-2019年1月汕尾市人民医院收治的110例行跟骨骨折手术治疗后发生皮肤软组织坏死缺损患者的临床资料,根据手术修复方法分为研究组和对照组,每组55例。其中,对照组采用传统腓肠神经营养血管逆行岛状皮瓣修复术,研究组则采用低旋转点逆行外踝上皮瓣修复。观察两组围手术期相关指标情况;采用踝-后足评分量表(AOFAS)评估跟骨功能改善情况;观察两组术后并发症发生情况。结果:两组手术时间、术中出血量比较差异无统计学意义(P>0.05),研究组疼痛缓解时间、肿胀缓解时间均短于对照组,差异均有统计学意义(P<0.05);治疗前两组跟骨功能各项评分比较差异无统计学意义(P>0.05),治疗后两组跟骨功能各项评分均高于治疗前,且治疗后研究组地面步行、后足活动、踝-后足稳定性、异常步态、足部对线评分均高于对照组,差异均有统计学意义(P<0.05);研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:低旋转点逆行外踝上皮瓣修复在跟骨术后皮肤软组织坏死缺损中的应用效果显著,可有效改善跟骨骨折患者跟骨功能,且术后并发症发生率少,安全性佳。
Objective:To analyze the effect of retrograde lateral supramalleolus flap with low rotation point in repairing necrotic defect of skin and soft tissue after calcaneal operation.Method:The clinical data of 110 patients with necrotic defect of skin and soft tissue after calcaneal fracture surgery in Shanwei People’s Hospital from January 2018 to January 2019 were retrospectively analyzed.According to the operation and repair methods,they were divided into the study group and the control group,55 cases in each group.In the control group,the conventional sural nerve vascular reverse island flap repair was performed,while in the study group,the low rotation point reverse lateral supramalleolus flap repair was performed.The perioperative indexes of the two groups were observed,the improvement of calcaneal function was assessed by ankle-hindfoot scale (AOFAS),postoperative complications were observed in the two groups.Result:There were no statistically significant differences in operation time and intraoperative blood loss between the two groups (P>0.05),the pain relief time and swelling relief time in the study group were shorter than those in the control group,the differences were statistically significant (P<0.05).There was no statistically significant difference in calcaneal function scores between the two groups before treatment (P>0.05).After treatment,each score of calcaneal function in both groups was higher than that before treatment,and the scores of ground walking,hind foot activity,ankle-hind foot stability,abnormal gait,and foot line in the study group were all higher than those in the control group,the differences were statistically significant (P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,the difference was statistically significant (P<0.05).Conclusion:The application of low rotation point reverse lateral supramalleolus flap in the repair of skin and soft tissue necrosis and defect after calcaneus operation is significant,which can effe
作者
黄秦邶
HUANG Qinbei(Shanwei People’s Hospital,Shanwei 516100,China)
出处
《中外医学研究》
2020年第25期14-16,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
低旋转点逆行外踝上皮瓣修复
皮肤软组织坏死缺损
效果
Low rotation point reverse lateral supramalleolus flap repair
Skin and soft tissue necrosis
Effect
