摘要
目的:探讨改良逆行腓肠神经营养血管皮瓣修复小腿周围创面的效果。方法:选取2009年6月至2013年12月我院收治的50例小腿周围创伤患者,35例患者位于小腿下段至中足部位(A组),9例患者位于小腿上段和大腿下段部位(B组),6例患者位于小腿中段部位(C组)。运用改良逆行腓肠神经营养血管皮瓣修复小腿下段至中足部位创面,运用腓肠肌肌瓣修复小腿上段和大腿下段部位创面,运用小腿内侧皮瓣修复小腿中段部位创面。结果:A组患者的完全成活率88.6%(31/35)明显比B组、C组55.6%(5/9)、50%(3/6)高(P<0.05),不良反应发生率11.4%(4/35)明显比B组、C组44.4%(4/9)、50%(3/6)低(P<0.05)。结论:改良逆行腓肠神经营养血管皮瓣修复小腿周围创面效果显著。
Objective:To investigate the modified retrograde sural neurocutaneous vascular flap repair on the wound around leg. Methods:Selecting 50 cases with trauma around leg from June, 2009 to December, 2013 in the hospital. Wound of 35 cases were located in the lower leg and foot position (A group),9 patients were located in upper shank and thigh segments(B group),and 6 cases were located in the middle part of the leg(Group C). Using modified retrograde sural neurovascular flap for the repair of the lower leg and foot wound, the gastrocnemius muscle flap for the repair of the upper leg and thigh section wound, and the wound leg medial skin flap for the repair of the middle section. Results:In A group, complete survival rate was 88.6% (31/35) , which was higher than B group, C group with 55.6% (5/9), 50% (3/6)(P<0.05). The incidence of adverse reaction was 11.4% (4/35), which was lower than the B group, C group of 44.4% (4/9), 50% (3/6) (P<0.05). Conclusion:The modified retrograde sural neurocutaneous vascular flap on the repair of wound around leg has significant effect.
出处
《中国医疗美容》
2014年第2期101-102,共2页
China Medical Cosmetology
