膝上外侧筋膜皮瓣修复结合退癀消肿汤治疗膝关节周围皮肤软组织缺损

Lateral superior genicular flap combined with Tuihuang Xiaozhong decoction (退癀消肿汤) for the treatment of soft tissue defects around the knee joint

目的:评价早期中西药配合抗炎,结合膝上外侧筋膜皮瓣治疗膝关节周围皮肤软组织缺损的疗效。方法:2004年6月至2008年9月采用早期中西药配合抗炎,结合膝上外侧筋膜皮瓣治疗膝关节周围皮肤软组织缺损8例。其中男5例,女3例;年龄32～56岁,平均35.2岁。缺损面积:7.6cm×4.5cm～15.2cm×7.5cm;病程3个月～3年。其中髌前3例,腘窝2例,膝关节外侧3例。早期均应用退癀消肿汤药配合抗生素3～5d。结果:术后皮瓣全部存活,膝关节功能恢复良好,膝关节外侧有1例皮瓣远端表皮坏死。结论:早期中西药配合抗炎,结合膝上外侧筋膜皮瓣治疗膝关节周围皮肤软组织缺损是一种操作简单、易于基层推广、不需特殊显微外科器械的行之有效的方法。

Objective：To evaluate the early combination of Chinese and Western medicine for anti inflammation and lateral superior genicular flap for the treatment of soft tissue defects around the knee joint. Methods：From June 2004 to September 2008,8 patients with soft tissue defects around the knee joint were treated with lateral superior genicular flap. Among the patients,5 patients were male and 3 patients were female,ranging in age from 32 to 56 years,with an average of 35.2 years. The defected area ranged from 7.6 cm×4.5 cm to 15.2 cm×7.5 cm. The disease course ranged from 3 months to 3 years. Three patients had the defects at the posterior of the knee,2 patients had the defects at the popliteal fossa,and 3 patients had the defects at the lateral side of the knee. At the early stage,all the patients were treated with Tuihuang Xiaozhong decoction （退癀消肿汤） and antibiolits for 3 to 5 days. Results：All the flaps survived,and the knee function recovered. One patient had epidermis necrosis at the distal end of the flap of lateral side of the knee. Conclusion：The early combination of Chinese and Western medicine for anti inflammation is a simple,easy to promote,and no special microsurgical instruments are needed.