足踝部外伤皮肤缺损选用不同部位带蒂皮瓣修复临床疗效观察

Clinical Observation on the Treatment of Traumatic Skin Defect of the Ankle and Foot with Different Parts with Pedicle Flap

目的不同部位的带蒂皮瓣修复足踝部外伤皮肤缺损患者临床效果分析。方法选取2015年1月—2018年7月诊治90例足踝外伤皮肤的缺损患者临床资料,分成三组,腓组予以腓肠神经相关营养血管的逆行皮瓣,足组予以足内侧隐神经相关营养血管的逆行皮瓣,踝组予以外踝上逆行岛状皮瓣,分析三组患者皮瓣成活率及并发症情况。结果治疗后,腓组成活率86.67%,足组成活率76.67%,踝组成活率83.33%,三组比较差异无统计学意义(P>0.05);三组患者均出现色素沉淀、瘢痕增生、瘙痒等并发症,三组比较差异无统计学意义(P>0.05)。结论足踝部外伤皮肤缺损患者应用不同部位的带蒂皮瓣修复临床效果均良好,成活率均较高,并发症较少,具一定临床应用与研究价值。

Objective To analyze the clinical effect of pedicled flaps in different parts of the skin in repairing foot and ankle traumatic skin defects. Methods The clinical data of 90 patients with defect of the skin of the foot and ankle were selected from January 2015 to July 2018.They were divided into three groups.The sputum group was treated with a retrograde flap of the gastro-intestinal nerve-related nutrient vessels. The foot group was treated with a retrograde flap of the medial saphenous nerve-related nutrient vessels. The sacral group was treated with a retrograde island flap on the lateral malleolus. The survival rate and concurrency of the flaps of the three groups were analyzed. Situation. Results After treatment, the survival rate of sputum was 86.67%, the survival rate of foot composition was 76.67%, and the survival rate of sputum composition was 83.33%. There was no statistical difference between the three groups(P>0.05). Pigmentation and scar hyperplasia occurred in all three groups. There were no statistically significant differences between the three groups(P>0.05). Conclusion The pedicled flaps of different parts of the foot and ankle skin defect have good clinical results, high survival rate, less complications, and have certain clinical application and research value.