股前外侧游离皮瓣修复治疗足部皮肤软组织缺损的效果及对皮瓣成活率的影响  

Effect of Anterolateral Thigh Free Flap Repair on Foot Skin and Soft Tissue Defect and Its Influence on Flap Survival Rate

作　　者：李家米 李忠 侯识志 LI Jiami;LI Zhong;HOU Shizhi(Yifu Hospital Affiliated to Nanjing Medical University,Nanjing 211100,Jiangsu,China;Department of Outpatient,Jiangbei Bund Fine Posture Medical Beauty,Ningbo 315000,Zhejiang,China)

机构地区：[1]南京医科大学附属逸夫医院,江苏南京211100 [2]浙江省宁波市江北外滩纤姿医疗美容门诊部,浙江宁波315000

出　　处：《中外医疗》2024年第21期53-56,共4页China & Foreign Medical Treatment

摘　　要：目的探究股前外侧游离皮瓣修复治疗足部皮肤软组织缺损的临床效果。方法前瞻性单纯随机选取2018年7月—2023年8月南京医科大学附属逸夫医院120例足部皮肤软组织缺损患者为研究对象,按照不同治疗方法分为两组,各60例。对照组施以常规治疗,观察组施以股前外侧游离皮瓣修复治疗,比较两组患者皮瓣成活率、血管危象发生率与足部功能评分。结果观察组皮瓣成活率[96.67%(58/60)]高于对照组[81.67%(49/60)],差异有统计学意义(χ^(2)=6.988,P=0.008)。观察组血管危象发生率[3.33%(2/60)]低于对照组[16.67%(10/60)],差异有统计学意义(χ^(2)=5.926,P=0.015)。治疗1个月、3个月后,观察组足部功能评分高于对照组,差异有统计学意义(P均<0.05)。结论足部皮肤软组织缺损后尽早采用股前外侧游离皮瓣修复治疗,可提高皮瓣存活率,降低血管危象发生率,改善足部功能,临床疗效显著。Objective To explore the clinical effect of anterolateral femoral free flap in the treatment of foot skin and soft tissue defects.Methods A total of 120 patients with foot skin and soft tissue defects in Yifu Hospital affiliated to Nanjing Medical University from July 2018 to August 2023 were prospective simple randomly selected as the study objects and divided into two groups with 60 cases each by different treatment methods.The control group received conventional treatment,and the observation group received anterolateral free thigh flap repair.The survival rate of skin flap,the incidence of vascular crisis and the score of foot function were compared between the two groups.Results The survival rate of skin flap in observation group[96.67%(58/60)]was higher than that in control group[81.67%(49/60)],the difference was statistically significant(χ^(2)=6.988,P=0.008).The incidence of vascular crisis in observation group[3.33%(2/60)]was lower than that in control group[16.67%(10/60)],and the difference was statistically significant(χ^(2)=5.926,P=0.015).After 1 and 3 months of treatment,the foot function scores of the observation group were higher than those of the control group,and the difference was statistically significant(both P<0.05).Conclusion The anterolateral thigh free skin flap can improve the survival rate of skin flap,reduce the incidence of vascular crisis and improve the function of foot.

关 键 词：股前外侧游离皮瓣修复 足部皮肤软组织缺损 皮瓣成活率 血管危象发生率 足部功能评分 

分 类 号：R658.3[医药卫生—外科学]