腓骨皮瓣交腿修复在合并血管损伤的胫骨骨感染及缺损中的应用

Application of fibular flap repairment in tibia infection and defection complicated with vascular injury

目的研究在合并血管损伤的胫骨骨感染及缺损中应用小腿腓骨皮瓣交腿修复的临床疗效及价值。方法采集本院2006年1月至2012年12月合并血管损伤的胫骨骨感染及缺损的40例患者的临床资料进行回顾性分析并随机分为观察组(20例)与对照组(20例),两组患者均彻底清创,观察组给予腓骨皮瓣交腿修复处理,对照组给予常规处理。结果两组患者移植的皮瓣均成活,感染最终得到控制,随访无复发,修复效果良好;随访后两组患者手术成功率无显著差异(P>0.05),观察组术后并发症发生率较对照组显著减少,差异具有显著统计学意义(P<0.05);观察组患者的治愈时间较对照组更短(P<0.05)。结论小腿外侧腓骨皮瓣交腿修复合并血管损伤的胫骨骨感染及缺损具有手术操作相对简单、成功率高、疗效好等优点,可恢复患者下肢行走功能,在临床应用上具有指导及实践意义。

Objective To investigate the curative effect and value of ifbular lfap repairment in tibia infection and defection complicated with vascular injury. Methods Total of 40 cases with tibia infection and defection complicated with vascular injury from January 2006 to December 2012 were randomly divided into the observation group （n=20） and control group （n=20）, and the datas were analyzed, retrospectively. Thorough debridement were carried out for patients in both groups, and ifbular lfap repairment was applied to observation group, while only conventional treatment was applied for patients in control group. Results Fibular lfap all survived in both groups and infection were under control. No recurrence was observed in the follow up and the repairment succeeded. The difference of success rate between the two groups was not signiifcant （P〉0.05）, while the incidence of postoperative complications was signiifcantly lower in the observation group compared with the control group （P〈0.05）. The cure period for patients was signiifcantly shorter in the observation group （P 〈 0.05）. Conclusions Fibular flap repairment in tibia infection and defection complicated with vascular injury was advantaged for its relatively simple operation, high successful rate, which could recovere the walking function of lower limbs, and have guiding and practical signiifcance in clinical application.