手足皮肤缺损修复中游离腓动脉穿支筋膜瓣的临床价值

Clinical value of free perforating branch of peroneal artery fascial flap to repair hand-foot skin defects

目的研究游离腓动脉穿支筋膜瓣治疗手足皮肤缺损的临床效果。方法选择本院86例患有手足皮肤缺损的患者,随机分为对照组和治疗组,每组43例。采用传统修复方式对对照组患者进行手术治疗;采用游离腓动脉穿支筋膜瓣技术对治疗组患者进行手术治疗。结果治疗组患者手足皮肤缺损症状的治疗效果(有效率为93.0%)明显优于对照组(有效率为74.4%);治疗组手术时间、术后住院时间、手足功能恢复时间、手足外观恢复时间明显短于对照组;术中出血量[(102.63±12.48)ml]明显低于对照组[(446.26±16.52)ml];围术期不良反应发生率(4.8%)明显低于对照组(23.3%);两组间差异均有统计学意义(P<0.05)。结论应用游离腓动脉穿支筋膜瓣技术对手足皮肤缺损患者实施治疗的临床效果显著,值得应用。

Objective To study clinical value of free perforating branch of peroneal artery fascial flap to repair hand- foot skin defects. Methods A total of 86 patients with hand-foot skin defects were randomly divided into treatment group and control group, each 43 cases. Control group was given traditional restoration operation, the treatment group were treated by free peroneal artery perforator flap technique. Results The treatment effect of treatment group （efficien- cy rate of 93.0%） was better than that of control group （efficiency rate of 74.4%）; the operation time, postoperative hos- pitalization time, hand and foot function recovery time, and the appearance of the recovery time of treatment group was shorter than the control group; the amount of bleeding during operation[（102.63±12.48）mL] was significantly lower than that of the control group [（446.26±16.52） ml]; perioperative adverse reaction rate （4.8%） was significantly lower than that of the control group （23.3%）. The differences were all statistically significant （P 〈 0.05 ）. Conclusion Clinical ef- fect of free perforating branch of peroneal artery fascial flap to repair hand-foot skin defects is significant, it is worthy of application.