股前外侧皮瓣修复足踝部复合组织缺损的临床疗效分析

Analysis of clinical effect of anterolateral thigh flap in repairing compound tissue defect of foot and ankle

目的研究分析股前外侧皮瓣修复足踝部复合组织缺损的临床疗效。方法回顾性分析2020年1月至2023年6月本院收治的足踝部复合组织缺损患者共92例,根据皮瓣修复手术方法不同将92例患者分为两组,其中观察组51例,行股前外侧皮瓣修复治疗,对照组41例,行小腿岛状穿支皮瓣修复治疗。结果观察组患者的手术治疗时间,皮瓣愈合时间均明显短于对照组患者,差异具有统计学意义(P<0.05);两组患者术后皮瓣均完全成活;术后3个月,观察组患者AOFAS评分明显高于对照组(P<0.05);术后3个月,观察组患者BMRC感觉功能恢复分级中,S3-S4级占比明显高于对照组患者(P<0.05);观察组患者术后并发症发生率(11.76%)与对照组患者术后并发症发生率(12.20%)无明显差异,比较无统计学意义(χ^(2)=0.8214,P>0.05)。结论采用股前外侧皮瓣修复足踝部复合软组织缺损,可以获得较好的临床疗效,患者术后足踝功能以及皮瓣感觉功能恢复更好,适合临床选择应用。

Objective To study and analyze the clinical effect of anterolateral thigh flap in repairing compound tissue defect of foot and ankle.Methods From January 2020 to June 2023,92 patients with compound tissue defect of foot and ankle were retrospectively studied.51 cases in the observation group were treated with anterolateral thigh flap,and 41 cases in the control group were treated with island perforator flap.Results the operation time and the healing time of the flap in the observation group were significantly shorter than those in the control group(P<0.05),the scores of AOFAS in the observation group were significantly higher than those in the control group(P<0.05),and the proportion of S3-S4 in the BMRC sensory function recovery grade in the observation group was significantly higher than that in the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the observation group(11.76%)and the control group(12.20%)(χ^(2)=0.8214,P>0.05).Conclusion The anterolateral thigh flap can be used to repair the compound soft tissue defect of foot and ankle,and the function of foot and ankle as well as Free flap's sensory function recovery after operation is better,so it is suitable for clinical application.