游离股前外侧皮瓣修复小腿及足部皮肤缺损的疗效观察

To observe the effect of anterolateral femoral skin flap to repair the skin defect of lower leg and foot

目的:观察游离股前外侧皮瓣修复小腿及足部皮肤缺损的临床疗效。方法:将小腿及足部皮肤缺损患者81例作为研究对象,随机分为研究组与对照组。其中对照组40例采用临床常规手术方法治疗,而研究组41例采用游离股前外侧皮瓣修复术治疗,对比分析两组患者临床治疗效果。结果:研究组治疗总有效率为92.68%(38/41),对照组则为75.00%(30/40),研究组总有效率明显优于对照组,组间对比差异有统计学意义(P<0.05);研究组手术时间、术后恢复时间皆明显低于对照组,组间对比差异有统计学意义(P<0.01)。结论:小腿及足部皮肤缺损采用游离股前外侧皮瓣修复处理可以取得比较良好的效果,安全性更高,值得借鉴。

Objective To observe the clinical effect of free anterolateral femoral skin flap to repair the skin defect of lower leg and foot. Method 81 patients with the lower leg and foot skin defects were selected as the research object,they were randomly divided into study group and control group,40 patients in control group with routine operation method of treatment,while the study group 41 cases using free anterolateral femoral Pi Banxiu complex surgery,comparative analysis of two groups the clinical treatment effect. Results The treatment group total effective rate was 92. 68%（ 38 /41）,the control group was 75. 00%（ 30 /40）,the total efficiency of study group was significantly better than the control group,the difference was statistically significant between group comparison（ P〈0. 05）; study time and recovery time after operation in group were significantly better than the control group,the difference was statistically significant group contrast（ P〈0. 01）. Conclusion The lower leg and foot skin defect with free stock repair anterolateral flap can be achieved relatively good results,shorter operation time and postoperative recovery,worth learning.