摘要
目的探讨改良外踝上穿支皮瓣在跟骨术后软组织缺损中的应用效果。方法选取2018年1月—2019年1月湖北省荆州市第三人民医院骨科收治的86例跟骨术后软组织缺损患者作为研究对象,根据随机数字表法将其分为参照组与研究组,每组各43例。参照组患者给予传统皮瓣修复术,研究组患者给予改良外踝上穿支皮瓣修复术。比较两组患者的并发症发生情况、术后12个月足跟外形评分和术后指标。结果研究组患者的并发症总发生率(6.98%)与参照组(11.63%)比较,差异无统计学意义(P>0.05)。研究组患者术后12个月足跟外形评分的皮瓣颜色、皮瓣温度评分与参照组比较,差异无统计学意义(P>0.05);研究组患者术后12个月足跟外形评分的局部瘢痕与创面愈合分数低于参照组,差异有统计学意义(P<0.05)。研究组患者的肿胀缓解时间和疼痛缓解时间均短于参照组,差异有统计学意义(P<0.05)。结论跟骨术后软组织缺损患者应用改良外踝上穿支皮瓣修复具有理想的修复效果,可减少并发症的发生,缓解患者的疼痛和肿胀,值得推广和应用。
Objective To study the effect of modified lateral superior malleolar perforator flap in the treatment of soft tissue defect after calcaneus operation.Methods A total of 86 patients with soft tissue defect after calcaneal surgery admitted to the Department of Orthopedics in the Third People′s Hospital of Jingzhou City,Hubei Province from January 2018 to January 2019 were selected as the research objects.According to the random number table method,they were divided into the control group and the study group,with 43 patients in each group.Patients in the control group were treated with traditional flap repair,and patients in the study group were treated with modified lateral supramolleolar perforator flap repair.The incidence of complications,heel shape score at 12 months and postoperative indexes were compared between the two groups.Results There was no significant difference in the total incidence of complications between the study group(6.98%)and the control group(11.63%)(P>0.05).There were no significant differences between the study group and the control group in flap color and flap temperature scores of heel shape score at 12 months after surgery(P>0.05).The scores of local scar and wound healing in the study group of heel shape score at 12 months after surgery were lower than those in the control group,and the differences were statistically significant(P<0.05).The duration of swelling relief and pain relief in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion When the modified superior perforator flap is used to repair the soft tissue defect after calcaneal surgery,it can obtain the ideal repair effect,reduce the complications,alleviate the pain and swelling of the patients,and shorten the hospital stay,it is worth popularizing and applying.
作者
詹义兵
李华
靳朝国
熊怀风
ZHAN Yi-bing;LI Hua;JIN Chao-guo;XIONG Huai-feng(Department of Orthopedics,the Third People′s Hospital of Jingzhou City,Hubei Province,Jingzhou434000,China)
出处
《中国当代医药》
CAS
2021年第24期109-111,119,共4页
China Modern Medicine
关键词
改良外踝上穿支皮瓣
修复
足跟
软组织缺损
跟骨术
应用效果
Modified lateral supramalleolar perforator flap
Repair
Heel
Soft tissue defect
Calcaneus
Application effect
