腓肠神经营养血管皮瓣修复对足跟部软组织缺损患者的影响  

Effect of Sural Neurovascular Flap Repair in Patients with Heel Soft Tissue Defect

作　　者：贾光伟 李敬宁 韩洪珂 Jia Guangwei;Li Jingning;Han Hongke(Gansu Heping Hospital,Lanzhou 730000,Gansu Province,China)

机构地区：[1]甘肃和平医院,甘肃兰州730000

出　　处：《中国社区医师》2023年第23期38-40,共3页Chinese Community Doctors

摘　　要：目的:探讨对足跟部软组织缺损患者行腓肠神经营养血管皮瓣修复的效果。方法:选取2019年1月—2022年2月甘肃和平医院收治的足跟部软组织缺损患者92例作为研究对象,根据随机数字表法分为对照组与研究组,各46例。对照组实施股前外侧皮瓣修复治疗,研究组实施腓肠神经营养血管皮瓣修复。比较两组皮瓣成活率及修复部位皮肤弹性、临床指标、炎性因子水平、术后外观满意度。结果:研究组皮瓣成活率高于对照组,修复部位皮肤弹性Ⅰ级占比高于对照组,Ⅱ级占比低于对照组,差异有统计学意义(P<0.05);两组修复部位皮肤弹性Ⅲ级占比比较,差异无统计学意义(P>0.05)。研究组创面愈合时间、住院时间短于对照组,换药次数少于对照组,差异有统计学意义(P<0.001)。术后10 d,两组血清白细胞计数、血小板计数、C反应蛋白水平均低于术前,且研究组低于对照组,差异有统计学意义(P<0.001)。研究组术后外观总满意度高于对照组,差异有统计学意义(P<0.001)。结论:腓肠神经营养血管皮瓣修复治疗足跟部软组织缺损患者的皮瓣成活率高,可有效抑制炎性反应,促进康复,提高术后外观满意度。Objective:To investigate the effect of sural neurovascular flap repair in patients with heel soft tissue defect.Methods:From January 2019 to February 2022,92 patients with heel soft tissue defect in Gansu Heping Hospital were selected as the study subjects.They were divided into control group and study group according to random number table method,with 46 cases in each group.The control group implemented anterolateral thigh flap repair treatment and the study group implemented sural neurovascular flap repair treatment.The survival rate of skin flap and skin elasticity at the repair site,clinical indexes,inflammatory factor levels,and postoperative appearance satisfaction of the two groups were compared.Results:The survival rate of skin flap in the study group was higher than that in the control group,the proportion of skin elasticity grade I at the repair site in the study group was higher than that in the control group,and the proportion of skin elasticity grade II at the repair site in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the proportion of skin elasticity grade III at the repair site between the two groups(P>0.05).The wound healing time and length of hospital stay in the study group were shorter than those in the control group,and the number of dressing changes in the study group was lower than that in the control group,and the difference was statistically significant(P<0.001).At 10 d after surgery,serum white blood cell count,platelet count and C-reactive protein levels in the two groups were lower than those before surgery,and the study group was lower than the control group,and the difference was statistically significant(P<0.001).The total satisfaction of postoperative appearance in the study group was higher than that in the control group,and the difference was statistically significant(P<0.001).Conclusion:Sural neurovascular flap repair in the treatment of heel soft tissue defe

关 键 词：足跟部软组织缺损 腓肠神经营养血管皮瓣修复 皮瓣成活质量 炎性反应 

分 类 号：R658.3[医药卫生—外科学]