改良腓动脉穿支螺旋桨皮瓣在足踝部皮肤软组织缺损中的修复效果  

Effect of Modified Peroneal Perforator Propeller Flap in Repairing Skin and Soft Tissue Defect of Foot and Ankle

作　　者：杜娇[1] 王毅[1] 郑德义[1] 张恺悦 陈大志 颜小玲 DU Jiao;WANG Yi;ZHENG Deyi;ZHANG Kaiyue;CHEN Dazhi;YAN Xiaoling(Guizhou Provincial People's Hospital,Guiyang 550001,China;不详)

机构地区：[1]贵州省人民医院,贵州贵阳550001

出　　处：《中外医学研究》2024年第5期23-26,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨足踝部皮肤软组织缺损患者采用改良腓动脉穿支螺旋桨皮瓣修复的效果。方法:选择2019年7月—2022年12月贵州省人民医院整形烧伤外科收治的100例足踝部皮肤软组织缺损行皮瓣修复的患者。按照随机数表法分为对照组和观察组,各50例,对照组予以腓动脉穿支皮瓣修复,观察组予以改良腓动脉穿支螺旋桨皮瓣修复。观察两组皮瓣情况(皮瓣一期成活率、增生性瘢痕、色素沉着发生率)、皮瓣感觉功能、踝关节活动度(踝关节跖屈、背伸角度)及踝关节功能[美国足踝外科协会(AOFAS)踝与后足评分系统评分]。结果:观察组皮瓣一期成活率为94.00%,高于对照组的80.00%,差异有统计学意义(P<0.05);两组术后增生性瘢痕、色素沉着发生率比较,差异无统计学意义(P>0.05)。观察组皮瓣感觉恢复优良率为88.00%,高于对照组的72.00%,差异有统计学意义(P<0.05)。术后6个月,两组踝关节跖屈、背伸角度高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。术后6个月,两组疼痛、力线及功能维度评分高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:改良腓动脉穿支螺旋桨皮瓣在足踝部皮肤软组织缺损修复中血运可靠,能改善踝关节功能,促进皮瓣感觉功能恢复,提高皮瓣一期成活率。Objective:To investigate the effect of modified peroneal perforator propeller flap in repairing the foot and ankle skin and soft tissue defects.Method:A total of 100 cases of foot and ankle skin and soft tissue defects treated for flap repair in the Department of Plastic and Burn Surgery of Guizhou Provincial People's Hospital from July 2019 to December 2022 were selected,they were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was repaired with peroneal perforator flap,and the observation group was repaired with modified peroneal perforator propeller flap.The skin flaps status(first stage survival rate of skin flaps,incidence of hypertrophic scars and pigmentation),skin flaps sensory function,ankle joint range of motion(ankle joint plantar flexion and dorsiflexion angle),and ankle joint function[American Association of Foot and Ankle Surgery(AOFAS)ankle and posterior foot scoring system].Result:The first stage survival rate of the observation group flap was 94.00%,which was higher than the 80.00% of the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences in the incidence of postoperative hypertrophic scars and pigmentation between the two groups(P>0.05).The excellent rate of skin flap sensation recovery in the observation group was 88.00%,which was higher than the 72.00% in the control group,and the difference was statistically significant(P<0.05).Six months after surgery,the ankle joint plantar flexion and dorsiflexion angle in the two groups were higher than those before surgery,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Six months after surgery,the pain,force line,and functional dimension scores of the two groups were higher than those before surgery,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05)

关 键 词：腓动脉穿支螺旋桨皮瓣 皮瓣修复 足踝部皮肤软组织缺损 踝关节功能 

分 类 号：R622[医药卫生—整形外科]