胫后动脉穿支皮瓣治疗下肢骨折术后切口愈合不良疗效观察  

作　　者：马露萍 黄凯[1] 郭峭峰[1] 

机构地区：[1]浙江省立同德医院,310012

出　　处：《浙江临床医学》2018年第3期443-444,共2页Zhejiang Clinical Medical Journal

摘　　要：目的观察带蒂胫后动脉穿支皮瓣治疗下肢骨折术后切口愈合不良的临床疗效。方法回顾性分析2014年1月至2017年1月带蒂胫后动脉穿支皮瓣修复29例下肢骨折术后切口愈合不良患者的临床资料。其中Pilon骨折术后前侧切口愈合不良伴肌腱、内固定外露15例，胫骨远端骨折术后内侧切口愈合不良伴内固定外露14例。随访根据皮瓣成活情况、感染控制、弹性色泽、外观形态、供区瘢痕、皮肤感觉、患者认可度等七个方面对皮瓣修复术后疗效进行综合评价。结果所有患者均获随访，时6-22个月，平均14-3个月。疗效满意22例，一般7例，无不满意。结论带蒂胫后动脉穿支皮瓣治疗下肢骨折术后切口愈合不良，疗效良好，值得临床应用及推广。Objective To observe the clinical effect of posterior tibial artery perforator flap in the treatment of lower limb fracture with poor healing of incision. Methods From January 2014 to January 2017, the clinical data of 29 cases of lower limb fracture healed after operation were analyzed retrospectively. Among them, 15 cases had poor healing of anterior incision with tendon and internal fixation exposure after Pilon fracture, and 14 cases had poor healing of internal incision and exposure of internal fixation after distal tibial fracture surgery. According to the skin flap survival, infection control, elastic color, appearance, donor site scar, skin sensation, patient recognition, seven aspects of the comprehensive evaluation of the effect of flap repair. Results All patients were followed up for 6-22 months, with an average of 14.3 months. The curative effect was satisfactory in 22 cases and 7 cases in general. Conclusion The posterior tibial artery perforator flap is an effective method for the treatment of lower limb fracture. It is worthy of clinical application and promotion.

关 键 词：胫后动脉穿支皮瓣 修复 并发症 

分 类 号：R719.8[医药卫生—妇产科学]