逆行腓肠神经营养血管筋膜皮瓣修复足踝部软组织缺损患者的术后护理  

Postoperative nursing of the repair of soft tissue defect of foot and ankle with retrograde sural flneurotrophic vascular fascial flap

作　　者：孙毅鑫 杜慧丽 SUN Yixin;DU Huili(Lower Limb OrthopedicsⅡ,Zhengzhou Orthopedic Hospital,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州市骨科医院下肢骨科Ⅱ,河南郑州450000

出　　处：《中国医疗美容》2025年第2期83-86,共4页China Medical Cosmetology

摘　　要：目的总结分析逆行腓肠神经营养血管筋膜皮瓣修复足踝部软组织缺损的围手术期护理。方法以2023年1月至2024年3月在我院就诊的45例足踝部软组织缺损患者为研究对象,所有患者均接受逆行腓肠神经营养血管筋膜皮瓣修复治疗,并给予患者针对性术后护理干预。分析患者皮瓣存活情况恢复情况、术前和术后3个月时的足踝功能、术前和术后7d时的疼痛程度、并发症发生情况。结果45例患者皮瓣均存活,术后3d时的皮瓣体征评分为(7.12±0.84)分,术后7d时的皮瓣体征评分为(4.12±0.63)分,与术后3d时比较显著降低(P<0.05);患者术后3个月时美国整形外科足踝协会的足踝量表评分(28.63±3.24)分高于术前(8.35±1.86)分,差异有统计学意义(P<0.05);患者术后7 d时视觉模拟评分法评分(3.30±0.74)分低于术前(6.52±0.85)分,差异有统计学意义(P<0.05);4例患者出现术后并发症,并发症发生率为8.89%(4/45)。结论给予行逆行腓肠神经营养血管筋膜皮瓣修复治疗的足踝软组织缺损患者良好的术后护理对促进皮瓣恢复,缓解患者术后疼痛,改善其足踝功能恢复有积极帮助。Objective To summarize and analyze the perioperative nursing of retrograde sural neurotrophic vascular fascial flflap for repairing soft tissue defect of foot and ankle.Methods 45 patients with soft tissue defect of foot and ankle were treated in our hospital from January 2023 to March 2024.All patients received retrograde sural neurotrophic vascular fascial flflap repair and given targeted postoperative nursing intervention The recovery of skin flflap,foot and ankle function before and 3 months after surgery,pain degree before and 7 days after surgery,and the occurrence of complications were analyzed.Results All the 45 cases survived with skin flflap,the score of skin flflap physical signs was(7.12±0.84)points at 3 d and(4.12±0.63)points at 7d after surgery,which was signifificantly lower than that at 3d after surgery(P<0.05).The Ankle-Hindfoot Scale of the American Orthopaedic Foot and Ankle Society at 3 months after fisurgery(28.63±3.24)points was higher than that before surgery(8.35±1.86)points,the difference was statistically significant(P<0.05);The visual analogue score of the patient at 7 days after surgery(3.30±0.74)points was lower than that before surgery(6.52±0.85)fipoints,the difference was statistically significant(P<0.05).Postoperative complications occurred in 4 patients,and the incidence of postoperative complications was 8.89%(4/45).Conclusions Good postoperative nursing for patients with soft tissue defect of foot flfland ankle undergoing retrograde sural neurotrophic vascular fascial flap repair is helpful to promote the recovery of skin flap,relieve postoperative pain and improve the functional recovery of foot and ankle.

关 键 词：足踝部软组织缺损 逆行腓肠神经营养血管筋膜皮瓣修复 围手术期护理术后护理 足踝功能 并发症 

分 类 号：R473.6[医药卫生—护理学]