摘要
目的分析对比足底内侧动脉皮瓣在足跟部软组织缺损患者修复中的应用效果。方法经医学伦理委员会批准,选取本院2018年2月至2019年5月经手术治疗的80例足跟部软组织缺损患者分为对照组(40例)和观察组(40例),对照组采用游离股前外侧皮瓣修复术治疗,观察组采用足底内侧动脉皮瓣转移修复术治疗,术后7d,比较两组皮瓣成活率;术后连续随访3个月,比较两组手术效果、并发症发生率。结果观察组手术时间较对照组长,创面愈合时间较对照组短,创面愈合率高于对照组,美容效果优于对照组,两组差异具有可比性(P<0.05)。术后6个月,比较两组足功能。结果术后7d,观察组皮瓣完全成活26例、部分成活12例、完全坏死2例,对照组皮瓣完全成活18例、部分成活14例、完全坏死8例,观察组皮瓣成活率95.0%高于对照组80.0%,差异具有可比性(P<0.05)。随访期间,观察组发生率皮瓣溃疡0例、磨损1例、淤血1例、脱落0例,对照组发生皮瓣溃疡2例、磨损4例、淤血1例、脱落1例,观察组并发症发生率5.0%低于对照组20.0%,差异具有可比性(P<0.05)。术前观察组Maryland评分为(41.65±6.72)分,对照组(41.84±6.69)分,术后6个月,两组Maryland评分均较术前上升,观察组(81.46±9.54)分,对照组(72.58±9.16)分,观察组评分高于对照组,差异具有可比性(P<0.05)。结论足跟部软组织缺损患者采用足底内侧动脉皮瓣修复可缩短创面愈合时间,提高创面愈合率,提高皮瓣成活率,改善美容效果及足功能,降低并发症发生率。
Objective To analyze and compare the application effect of medial plantar artery flap in the repair of heel soft tissue defect.Methods With the approval of the medical ethics committee,80 cases of heel soft tissue defects were selected from February 2018 to may 2019 in our hospital and divided into control group(40 cases)and observation group(40 cases).The control group was treated with free anterolateral thigh flap repair,and the observation group was treated with medial plantar artery flap transfer and repair.The survival rate of the two groups was compared 7 days after operation Follow up for 3 months,compare the incidence of complications between the two groups;6 months after surgery,compare the foot function of the two groups.Results 7 days after operation,26 cases of complete survival,12 cases of partial survival,2 cases of complete necrosis in the observation group,18 cases of complete survival,14 cases of partial survival and 8 cases of complete necrosis in the control group.The survival rate of the observation group was 95.00%higher than that of the control group(80.00%),and the difference was comparable(P<0.05).During the follow-up period,the incidence of skin flap ulcer in the observation group was 0,abrasion in 1,congestion in 1 and shedding in 0.In the control group,2 cases of skin flap ulcer,4 cases of abrasion,1 case of congestion and 1 case of shedding occurred in the control group.The incidence of complications in the observation group was 5.00%lower than that in the control group 20.00%,and the difference was comparable(P<0.05).The preoperative Maryland score of the observation group was(41.65±6.72)points,and that of the control group was(41.84±6.69)points.Six months after operation,the Maryland scores of the two groups were increased compared with those before operation,the observation group was(81.46±9.54)points,the control group was(72.58±9.16)points,the observation group score was higher than the control group,the difference was comparable(P<0.05).Conclusion The use of medial plantar art
作者
高林
范春海
刘兵
刑耀文
苏锴
GAO Lin;FAN Chun-hai;LIU Bing;XING Yao-wen;SU Wei(Surery Department,Shangqiu Hospital,Henan Province,476000,China;Department of hand and foot surgery,Shangqiu Hospital,Henan Province,476000,China;Department of Plastic Surgery,Shangqiu Hospital,Henan Province,476000,China;Department of Orthopaedics,Shangqiu Hospital,Henan Province,476000,China)
出处
《中国医疗美容》
2020年第9期88-92,共5页
China Medical Cosmetology
