经封闭式负压引流后应用游离股前外侧皮瓣移植修复足部皮肤缺损的临床疗效  

Clinical effect of free anterolateral thigh flap transplantation in repairing foot skin defect after closed negative pressure drainage

作　　者：郑力文 李波 ZHENG Liwen;LI Bo(Department of Burns and Plastic Surgery,Hengyang NO.1 People′s Hospital in Hu′nan Province,Hengyang421002,China)

机构地区：[1]湖南省衡阳市第一人民医院烧伤整形外科,湖南衡阳421002

出　　处：《中国现代医生》2021年第11期100-103,共4页China Modern Doctor

摘　　要：目的探讨经封闭式负压引流后应用游离股前外侧皮瓣移植修复足部皮肤缺损的临床疗效。方法选取2017年1月至2019年1月我院收治的76例足部皮肤缺损患者,随机分为两组,对照组进行经封闭式负压引流治疗,研究组在对照组基础上进行游离股前外侧皮瓣移植修复。比较两组治疗总有效率、生活质量评分、感觉功能恢复状况、植皮成功率。结果与对照组比较,研究组治疗总有效率更高(P<0.05);与对照组比较,研究组生活质量评分更高(P<0.05);与对照组比较,研究组S3、S1区感觉功能恢复率更高(P<0.05),但其余区感觉功能恢复没有明显差异;与对照组比较,研究组植皮成功率更高(P<0.05)。结论对足部皮肤缺损患者,应用经封闭式负压引流治疗基础上联合游离股前外侧皮瓣移植修复治疗,效果理想,可提高皮瓣移植成功率,改善生活质量,恢复部分感觉功能。因此,该治疗方法值得广泛应用。Objective To investigate the clinical effect of free anterolateral thigh flap transplantation in repairing foot skin defects after closed negative pressure drainage.Methods A total of 76 patients with foot skin defects admitted to our hospital from January 2017 to January 2019 were randomly divided into two groups.The control group received closed negative pressure drainage treatment,and the study group received free transplantation of anterolateral flaps based on the treatment of the control group.The treatment efficiency,quality of life score,sensory function recovery status,and success rate of skin grafts were compared between the two groups.Results The treatment total efficiency of the study group was higher than that of the control group(P<0.05).The quality of life score in the study group was higher than that of the control group(P<0.05).The S3,S1 area sensory function recovery rate of the study group was higher than that of the control group(P<0.05).But there was no significant difference in sensory function recovery in other areas.The success rate of skin grafting in the study group was higher than that of the control group(P<0.05).Conclusion For patients with foot skin defects,the application of closed negative pressure drainage therapy combined with free anterolateral femoral flap transplantation has satisfactory results.It can increase the success rate of flap transplantation,improve the quality of life,and restore some sensory functions.Therefore,this treatment method should be widely used.

关 键 词：经封闭式负压引流 股前外侧皮瓣移植修复 皮瓣移植修复 足部皮肤缺损 

分 类 号：R658.3[医药卫生—外科学]