皮瓣修复肢体慢性难愈性创面的远期疗效探析

Analysis of Long-Term Effect of Limb Skin Flap Repair on Chronic Wound

目的:探析应用皮瓣修复技术治疗慢性难愈性创面的远期效果。方法:选择我院2011年1月-2014年4月期间收治42例慢性难愈性创面患者进行研究,分为观察组和对照组。对照组应用全身治疗、局部清创换药以及封闭负压引流综合治疗,观察组在此基础上应用自体皮瓣移植修复技术,比较两组创面愈合时间、复发率、创面愈合情况以及并发症发生率。结果:观察组患者的创面愈合时间为(12.5±3.8)d,短于对照组;随访1年无复发情况,复发率低于对照组;并发症发生率为10.0%,低于对照组;12例患者创面为甲级愈合,6例为乙级,2例为丙级,优于对照组,差异均有统计学意义(P<0.05)。结论:皮瓣修复技术在肢体慢性难愈性创面患者临床治疗中的应用可最大限度地恢复缺损部位的功能与外观,强化创面愈合效果并加快愈合速度,有较大临床价值,值得推广。

Objective：To probe into the long-term effect of flap repair technique for the treatment of chronic refractory wounds.Methods：Study a total of 42 cases of chronic wound patients in our hospital from January 2011 to April 2014,were divided into observation group and control group.The control group used systemic therapy,local debridement and dressing and vacuum sealing drainage comprehensive treatment,the observation group based on the use of autologous transplantation of skin flap repair technology,compared wound healing time,recurrence rate,complication rate and wound healing of two groups.Results：Wound healing time of observation group patients（12.5±3.8）d was shorter than that in control group;1year of follow-up without recurrence,the recurrence rate was lower than that of the control group;the incidence of complications 10%was lower than the control group;12patients were as Class-A healing,6cases of Class-B,2cases of Class-C,was better than that of the control group.The comparison was statistically significant（P〈0.05）.Conclusion：The application of the function and appearance of skin flap to repair the body count in chronic wound patients can maximize the recovery of the defect site,strengthen and accelerate healing of wound healing effect,there are great clinical value,is worthy of promotion.