负压封闭引流技术联合游离旋股外侧动脉降支皮瓣在下肢毁损伤软组织缺损中的应用研究

发布时间：2018-08-06 10:09

【摘要】：目的分析负压封闭引流技术(VSD)联合游离旋股外侧动脉降支皮瓣在修复下肢毁损伤软组织缺损中的临床疗效。方法选择2007年10月至2015年12月广东医学院附属高明医院修复下肢毁损伤患者18例,使用VSD促进肉芽组织生长,待肉芽组织生长满意后结合游离旋股外侧动脉降支解剖特点设计皮瓣,将皮瓣的长度变成宽度使皮瓣供区直接缝合,切取皮瓣后与受区血管吻合修复缺损创面。结果术后皮瓣供区均Ⅰ期愈合,无血管危象发生。18例均获得随访,随访时间6~24个月,平均12个月,皮瓣全部成活,仅1例皮瓣边缘小面积坏死,经换药创面愈合。结论 VSD联合旋股外侧动脉降支皮瓣可一次修复较大面积缺损,皮瓣供区直接缝合,缩短治疗周期,减轻患者痛苦。
[Abstract]:Objective to analyze the clinical effect of (VSD) combined with free descending branch flap of lateral circumflex femoral artery in repairing soft tissue defect of lower extremity injury. Methods from October 2007 to December 2015, 18 patients with lower extremity damage were repaired by Gaoming Hospital affiliated to Guangdong Medical College. VSD was used to promote granulation tissue growth. The flap was designed after satisfactory granulation tissue growth combined with the anatomical characteristics of the descending branch of the free lateral femoral circumflex artery. The length of the flap was changed to width so that the donor area of the flap was sutured directly and the flap was anastomosed with the recipient region to repair the defect wound. Results all the flap donor areas healed in the first stage, and no vascular crisis occurred in all the 18 cases. The follow-up time was 624 months (mean 12 months). All the flaps survived. Only one case had minor necrosis at the edge of the flap and healed after dressing change. Conclusion VSD combined with descending branch flap of lateral femoral circumflex artery can repair large area defect at one time, direct suture of flap donor area, shorten treatment period and alleviate the pain of patients.
【作者单位】：南华大学附属第一医院创伤骨科;广东医学院附属高明医院骨一科;
【基金】：广东省医学科学技术研究基金项目(A2015510)
【分类号】：R658.3

【相似文献】