携带腓肠外侧皮神经的游离腓动脉穿支皮瓣修复足前部软组织缺损

Free peroneal artery perforator flap repair with lateral sural cutaneous nerve in treatment of soft tissue defect of anterior part of foot

目的探讨携带腓肠外侧皮神经的游离腓动脉穿支皮瓣修复足前部软组织缺损临床疗效。方法选取本院于2015年3月～2018年3月期间收治的80例足前部软组织缺损患者作为研究对象,依据治疗方法不同分为两组,对照组给予传统带蒂皮瓣修复术,实验组给予携带腓肠外侧皮神经的游离腓动脉穿支皮瓣修复术,观察两组患者治疗效果。结果两组患者治疗总有效率均为100.00%,组间对比差异无统计学意义(P> 0.05);实验组患者Ⅰ期愈合率为100.00%,明显高于对照组患者的80.00%;实验组患者的皮瓣成活率为100.00%,明显高于对照组患者的85.00%,组间对比差异均具有统计学意义(P <0.05);实验组患者不良反应发生率为5.00%,明显低于对照组患者的20.00%,对比差异具有统计学意义(P <0.05)。结论针对足前部软组织缺损患者,需要给予植皮修复治疗,而与传统修复术进行对比,携带腓肠外侧皮神经的游离腓动脉穿支皮瓣修复所能够达到的修复效果更为理想,且有助于降低不良反应发生风险。

Objective To study the clinical curative effect of free peroneal artery perforator flap repair with lateral sural cutaneous nerve in treatment of soft tissue defect of anterior part of foot.Methods 80 patients with soft tissue defect of anterior part of foot who were admitted and treated in our hospital form March 2015 to March 2018 were selected as research objects.The patients were divided into two groups according to different treatment methods.The control group was treated with traditional pedicle flap to repair while the experimental group was treated by free peroneal artery perforator flap repair with lateral sural cutaneous nerve.The curative effects of the two groups were observed.Results The total effective rate of the two groups was 100.00%,and the difference between the two groups was not statistically significant(P >0.05).The first-stage healing rate of the experimental group was 100.00%,which was significantly higher than that of the control group 80.00%.The flap survival rate of the experimental group was 100.00%,which was significantly higher than that of the control group(85.00%).The difference between the two groups was statistically significant(P<0.05).The incidence of adverse reactions in the experimental group was 5.00%,which was significantly lower than that in the control group(20.00%).The comparative difference was statistically significant(P<0.05).Conclusion For patients with soft tissue defect of anterior part of foot,skin grafting repair is necessary.Compared with the traditional repair,the free peroneal artery perforator flap with lateral sural cutaneous nerve can achieve a more ideal repair effect and help to reduce the risk of adverse reactions.