内踝上皮支皮瓣在糖尿病足部溃疡的临床应用

发布时间：2018-01-21 03:22

  本文关键词： 内踝上皮支皮瓣 糖尿病足 溃疡 显微外科手术　出处：《中国临床解剖学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨应用内踝上皮支皮瓣修复糖尿病足部溃疡的临床疗效。方法 2012年3月至2015年3月,在内科治疗控制血糖的基础上,对糖尿病足合并Wagner分级2级以上的足部溃疡采用内踝上皮支皮瓣修复32例共38足。结果术后皮瓣血运良好,2例皮瓣远端小面积坏死,经换药后治愈,l例半年后因糖尿病血糖控制不良,外伤后伤口不愈合再次发生溃疡,并出现糖尿病足坏疽,行截肢处理。本组病例随访2~18个月,皮瓣成活良好,质地优良,耐磨压,大部分恢复保护性感觉,患足可负重行走,功能恢复满意。结论应用内踝上皮支皮瓣修复糖尿病足部溃疡临床效果良好,手术操作简便易行,能有效的提高患者生活质量。
[Abstract]:Objective to investigate the clinical effect of treating diabetic foot ulcer with medial malleolus epithelial branch flap. Methods from March 2012 to March 2015, blood glucose was controlled by internal medicine. 38 feet were repaired with medial malleolus epithelium branch flap for foot ulcer with Wagner grade 2 or more. Results there were 2 cases of small area necrosis of the distal end of the flap. After dressing change, 1 case was cured half a year later because of poor control of diabetic blood sugar, re-ulcer of wound nonunion after trauma, and gangrene of diabetic foot, which were treated with amputation. The patients were followed up for 2 ~ 18 months. The skin flap survived well, had good texture, wear-resistant pressure, most of the protective feeling was restored, the affected foot could walk with load, and the function was satisfactory. Conclusion the application of medial malleolus epithelial branch flap in the repair of diabetic foot ulcers is effective. The operation is simple and easy, and can effectively improve the quality of life of patients.
【作者单位】： 赣南医学院第一附属医院骨科;赣南医学院生化教研室;
【基金】：江西省卫生计生委科技计划课题(20171107)
【分类号】：R587.2;R632.1
【正文快照】： 糖尿病并发足部溃疡是糖尿病的一种严重并发症,是临床常见的顽固性溃疡。根据引发溃疡的主要原因分为神经足病、缺血足病和混合性足病(神经-血管性),发于足部负重区,面积大,溃疡组织层次深,病程时间长,是临床治疗修复的难点。中国糖尿病患者中神经性溃疡较常见,占约64%,缺血性，

本文编号：1450308