股前外侧穿支皮瓣修复对四肢皮肤软组织缺损患者的临床效果分析

Analysis of Clinical Effect of Anterolateral Thigh Perforator Flap Repair in Patients with Skin and Soft Tissue Defects of Limbs

目的:探讨股前外侧穿支皮瓣修复对四肢皮肤软组织缺损患者的临床效果。方法:选取2020年1月—2024年1月英德市人民医院创伤骨科收治的80例四肢皮肤软组织缺损患者为研究对象,以随机数字表法将其分为对照组和研究组,各40例。对照组采用局部转移皮瓣修复治疗,研究组采用股前外侧穿支皮瓣修复治疗。比较两组修复美观效果、血运状态恢复效果、感觉恢复效果及炎症因子水平。结果:研究组修复美观优良率、血运状态恢复优良率、感觉恢复优良率分别为97.50%、95.00%、97.50%,均高于对照组的82.50%、80.00%、80.00%,差异均有统计学意义(P<0.05)。术后1 d,两组血清降钙素原、C反应蛋白与白细胞计数均高于术前,但研究组均低于对照组,差异均有统计学意义(P<0.05)。结论:股前外侧穿支皮瓣修复应用于四肢皮肤软组织缺损患者治疗中,利于提升修复美观效果、血运状态恢复效果及感觉恢复效果,降低炎症因子水平。

Objective:To investigate the clinical effect of anterolateral thigh perforator flap repair in patients with skin and soft tissue defects of limbs.Methods:A total of 80 patients with skin and soft tissue defects of limbs admitted to the traumatic orthopedics Department of Yingde People’s Hospital from January 2020 to Janury 2024 were selected as the research objects,and were divided into a control group and a study group by random number table method,with 40 cases in each group.The control group was treated with local transfer flap,the study group was treated with anterolateral perforator flap.The aesthetic effect of repair,the effect of restoring blood circulation,the effect of sensory recovery and the level of inflammatory factors were compared between the two groups.Results:The excellent rate of aesthetic repair,the excellent rate of blood circulation recovery and the excellent rate of sensory recovery in the study group were 97.50%,95.00%and 97.50%,respectively,which were higher than 82.50%,80.00%and 80.00%in the control group,the differences were statistically significant(P<0.05).After 1 day of operation,the serum counts of procalcitonin,C-reactive protein and white blood cells in two groups were higher than before operation,but the study group were lower than the control group,the differences were statistically significant(P<0.05).Conclusion:The anterolateral thigh perforator flap can be used in the treatment of patients with skin and soft tissue defects of extremities,which is beneficial to improve the aesthetic effect,the recovery effect of blood circulation and sensory recovery effect,and reduce the level of inflammatory factors.