股前外侧皮瓣游离移植联合负压封闭引流技术修复下肢远端软组织缺损

Effect of Femoral Anterior Lateral Flap Free Transplantation Combined with Vacuum Sealing Drainage in Repairing of Distal Soft Tissue Defect of Lower Extremity

目的:探讨股前外侧皮瓣游离移植联合负压封闭引流技术(Vacuum sealing drainage,VSD)修复下肢远端软组织缺损的临床疗效。方法:将笔者医院收治的86例严重下肢皮肤或软组织缺损患者随机分为观察组和对照组,每组43例。观察组采用VSD联合股前外侧皮瓣游离移植修复,对照组采用股前外侧皮瓣游离移植联合常规引流,比较两组患者临床疗效及感染发生率等。结果:观察组治疗总有效率为93.02%,高于对照组的83.72%,差异有统计学意义(P<0.05)。观察组创面愈合时间、感染率明显低于对照组,皮瓣移植愈合率高于对照组,差异均有统计学意义(P<0.05)。讨论:股前外侧皮瓣游离移植联合VSD修复下肢远端软组织缺损,疗效好,操作简便,是值得推广的临床治疗方案。

Objective To investigate effect of femoral anterior lateral flap free transplantation combined with vacuum sealing drainage in repairing of distal soft tissue defect of lower extremity. Methods Eighty-six patients with distal soft tissue defect of lower extremity in our hospital were randomly divided into the observation group and the control group, 43 cases in each group. The observation group was treated with femoral anterior lateral flap free transplantation combined with vacuum sealing drainage, while the control group received femoral anterior lateral flap free transplantation combined with common pressure drainage. The clinical efficacy and incidence of infection were compared between the two groups. Results The total effective rate of the observation group was 93.02%, which was higher than that in the control group（83.72%）, the difference was statistically significant（P〈0.05）. The wound healing time and infection rate in the observation group were significantly lower than those in the control group, and the healing rate of skin flap transplantation was higher than that of the control group（P〈0.05）. Conclusion Femoral anterior lateral flap free transplantation combined with VSD for repairing distal soft tissue defect of the lower limb is easy to operate and has high efficiency.It is a worthy clinical treatment plan.