原发体表恶性肿瘤术后创面修复应用游离股前外穿支皮瓣的临床效果观察  

Clinical observation of free anterior and external femoral perforator flap used in wound repair of primary surface malignant tumor

作　　者：张勇超 宋科科 ZHANG Yongchao;SONG Keke(Department of Wound Repair and Plastic Surgery,The Second People Hospital of Xinxiang,Xinxiang 453400,Henan Province,China)

机构地区：[1]新乡市第二人民医院创面修复整形科,河南新乡453400

出　　处：《中国医疗美容》2025年第2期55-58,共4页China Medical Cosmetology

摘　　要：目的分析原发体表恶性肿瘤术后创面修复应用游离股前外穿支皮瓣的临床效果。方法选取2023年4月至2024年10月新乡市第二人民医院就诊的原发体表恶性肿瘤患者68例,依据术后创面修复方式不同分为两组,每组34例,对照组患者实施股前外侧穿支带蒂皮瓣修复治疗,研究组患者实施股前外侧穿支游离皮瓣修复治疗,比较两组患者修复治疗后手术效果、皮瓣愈合时间、手术时间,术前及术后3 d、7 d血流速度、血流灌注量,以及感染、皮瓣坏死、皮瓣下血肿发生情况。结果修复治疗后对照组与研究组患者的手术总优良率均为100.00%(34/34)。经比较两组皮瓣愈合时间差异无统计学意义(t=1.195,P>0.05),研究组手术时间相比于对照组延长,差异有统计学意义(t=26.632,P<0.05)。对照组与研究组患者术后3 d、7 d血流速度、血流灌注量相对值相比于治疗前明显升高,研究组相比于对照组更高,差异有统计学意义(t=4.522、4.325,4.277、2.604,P<0.05)。修复治疗后研究组患者并发症总发生率低于对照组,差异有统计学意义(χ^(2)=0.001,P>0.05)。结论原发体表恶性肿瘤术后创面进行股前外侧穿支游离皮瓣修复治疗可达到较好修复效果,促进皮瓣愈合,还可改善缺损点血运,安全性良好,由于其操作复杂性,故手术时间较长。Objective To analyze the clinical effect of free anterior and external femoral perforator flap for wound repair after primary surface malignancies.Methods A total of 68 patients with primary surface malignancies treated in the Second People's Hospital of Xinxiang City from 2023.4 to 2024.10 were divided into the control group(34 cases)and the study group(34 cases)according to different postoperative wound repair methods.The control group was treated with pedicled thigh perforator flflap,while the study group was treated with free thigh perforator flap.The surgical effect,healing time of the skin flap,operation time,preoperative and postoperative blood flflow velocity,blood perfusion volume at 3 and 7 days,infection,flflap necrosis and subflflap hematoma were compared between the two groups.Results After repair treatment,the total excellent and good rate of operation in the control group and the study group was 100.00%(34/34),.There was no signifificant difference in flflap healing time between the two groups(t=1.195,P>0.05).The operation time of the study group was longer than that of the control group,and the difference was statistically signifificant(t=26.632,P<0.05).The relative values of blood flflow velocity and blood perfusion volume in the control group and the study group at 3 and 7 days after operation were signifificantly higher than those before treatment,and the study group was higher than that of the control group,the difference was statistically signifificant(t=4.522,4.325,4.277,2.604,P<0.05).After repair treatment,the total incidence of complications in the study group was lower than that in the control group,and the difference was statistically signifificant(χ^(2)=0.001,P>0.05).Conclusions The anterolateral femoral perforator free flflap can be used to repair the wound of primary surface malignant tumor after operation,which can achieve better repair effect,promote the healing of the flflap,and improve the blood flflow of the defect point,with good safety.Due to the complexity of operation,the op

关 键 词：原发体表恶性肿瘤 创面修复 游离股前外穿支皮瓣 临床效果 

分 类 号：R739.5[医药卫生—肿瘤]