摘要
目的:分析改良外踝后穿支皮瓣修复对跟骨骨折患者跟骨功能的影响。方法:选取2015年2月—2018年1月收治的92例跟骨骨折术后需行皮瓣修复术患者,依据患者意愿及手术适应证分为两组。对照组44例采用传统皮瓣修复术,观察组48例采用改良外踝后穿支皮瓣修复术。随访6个月,比较两组术后恢复情况、跟骨功能及并发症。结果:观察组疼痛缓解时间、肿胀消退时间、创面愈合评分、局部瘢痕评分均低于对照组,差异具有统计学意义(P<0.05);术后6个月,观察组功能、疼痛及足部对线评分高于对照组,差异具有统计学意义(P<0.05);观察组并发症发生率略低于对照组,但差异无统计学意义(P>0.05)。结论:跟骨骨折术后采用改良外踝后穿支皮瓣修复治疗,可改善患者跟骨功能和外形,缩短肿胀及疼痛时间,且并发症少,利于患者预后。
Objective:To investigate the effect of improved lateral retromalleolar perforator flap repair on calcaneal function in patients with calcaneal fracture.Methods:All 92 patients with calcaneal fracture needed flap repair in the hospital from February 2015 to January 2018 were selected,and they were divided into two groups according to the patients'wishes and surgical indications.Control group(44 cases)was given traditional flap repair,while experimental group(48 cases)was given improved lateral retromalleolar perforator flap repair.After 6-month follow-up,the postoperative recovery,calcaneal function,complications were compared between the two groups.Results:The pain relief time,disappearance time of swelling,score of wound healing,score of localized scar in experimental group were lower than those in control group(P<0.05).After operation for 6 months,the scores of function,pain and foot alignment in experimental group were higher than those in control group(P<0.05).The incidence of complications in experimental group was slightly lower than that in control group,but there was no statistical difference(P>0.05).Conclusion:Improved lateral retromalleolar perforator flap repair in treatment of patients with calcaneal fracture can improve calcaneal function and shape,shorten the disappearance time of swelling and pain,have less complications and promote prognosis.
作者
李根杰
LI Genjie(Minsheng Hospital of Dengfeng,Dengfeng 452470,China)
出处
《临床医药实践》
2019年第9期652-655,共4页
Proceeding of Clinical Medicine
关键词
跟骨骨折
改良外踝后穿支皮瓣修复术
传统皮瓣修复术
跟骨功能
calcaneal fracture
improved lateral retromalleolar perforator flap repair
traditional flap repair
calcaneal function
