逆行腓动脉穿支筋膜蒂皮瓣和逆行胫后动脉穿支筋膜蒂皮瓣的临床效果

发布时间：2018-10-26 16:14

【摘要】：目的:评价逆行腓动脉穿支筋膜蒂皮瓣和逆行胫后动脉穿支筋膜蒂皮瓣对修复小腿下段和足踝部皮肤缺损的临床效果和并发症。方法:回顾性分析在我院运用腓动脉穿支筋膜蒂皮瓣和逆行胫后动脉穿支筋膜蒂皮瓣修复小腿下段和足部皮肤缺损的患者,统计分析皮瓣的成活与坏死率、皮瓣的功能以及并发症。结果:腓动脉组一期存活率高于胫后动脉组,差异有统计学意义(P0.05)。腓动脉组皮瓣功能指标评分与胫后动脉组比较无明显差异(P0.05)。腓动脉组增生性瘢痕、瘙痒、色素沉着、植皮区麻木、植皮区痛觉异常并发症发生率均显著低于胫后动脉组,差异有统计学意义(P0.05);两组间植皮区麻木、植皮区痛觉异常差异无统计学意义(P0.05)。结论:逆行腓动脉穿支筋膜蒂皮瓣与逆行胫后动脉穿支筋膜蒂皮瓣两者均可有效修复下肢与足踝皮肤缺损,但是逆行腓动脉穿支筋膜皮瓣存活率高,并发症少,值得临床推广。
[Abstract]:Objective: to evaluate the clinical effect and complications of retrograde peroneal artery perforator fasciocutaneous flap and retrograde posterior tibial artery perforator fasciocutaneous flap in repairing skin defects of lower leg and ankle. Methods: the survival and necrosis rate of peroneal artery perforator fasciocutaneous flap and retrograde posterior tibial artery perforator fasciocutaneous flap for the repair of lower leg and foot skin defects were analyzed retrospectively. The function and complications of the flap. Results: the primary survival rate of peroneal artery group was higher than that of posterior tibial artery group (P0.05). There was no significant difference in the score of flap function between the peroneal artery group and the posterior tibial artery group (P0.05). The incidences of hypertrophic scar, pruritus, pigmentation, numbness in skin grafting area and abnormal pain perception in peroneal artery group were significantly lower than those in posterior tibial artery group (P0.05). There was no significant difference between the two groups in numbness of skin grafting area and abnormal pain perception in skin graft area (P0.05). Conclusion: both retrograde peroneal artery perforator fasciocutaneous flap and retrograde posterior tibial artery perforator fasciocutaneous flap can effectively repair the skin defects of lower extremity and ankle, but the retrograde peroneal artery perforator fascial flap has high survival rate and few complications, so it is worth popularizing clinically.
【作者单位】：安徽医科大学第一附属医院;
【基金】：国家自然基金(编号:81171694) 安徽医科大学2015年度校临床科学研究项目(编号:2015xkj088)
【分类号】：R658.3

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