中西医结合治疗一期修复踝关节损伤伴软组织缺损的临床研究

发布时间：2018-05-30 03:05

本文选题：软组织缺损 + 踝关节损伤　；参考：《新中医》2009年05期

【摘要】：目的:观察以带蒂的隐神经营养皮瓣配合中药治疗一期修复踝关节损伤伴软组织缺损的临床疗效。方法:对16例伴有膝踝关节部位软组织缺损的踝关节损伤患者,先行急诊清创,再设计以带蒂隐神经营养皮瓣,对缺损的软组织进行修复,术后内服中药汤剂治疗。结果:本组16例所有皮瓣术后充盈良好;4例出现瘀血情况,经处理后好转;1例带血管蒂的岛状皮瓣边缘出现坏死,经换药后愈合。供区创面均一期愈合。随访10～24月,平均16月,结果1例作二期修整外,其余皮瓣外形满意。患踝、足按美国足踝外科协会踝部评分标准进行评估,结果优6例,良9例,可1例,差0例,优良率为93.75%。结论:带蒂的隐神经营养皮瓣配合中药内服是治疗伴有软组织缺损的踝关节损伤的有效方法。
[Abstract]:Objective: To observe the clinical efficacy of pedicled saphenous neurotrophic flap combined with traditional Chinese medicine in the treatment of one stage repair of ankle joint injury with soft tissue defect. Methods: 16 patients with ankle joint injury with soft tissue defect of the knee and ankle joint were treated in the emergency debridement first, and the skin flap was redesigned with pedicled hidden God, and the soft tissue of the defect was repaired. Results: 16 cases of all skin flaps in this group were filled with good filling, 4 cases had blood stasis and improved after treatment; 1 cases of island flap with vascular pedicle appeared necrotic and healed after changing the medicine. The follow-up was 10~24 months, the average of 16 months was 16 months, the results of the 1 cases were full and the remaining flaps were full shape. According to the ankle score standard of the American ankle surgery association, the results were excellent in 6 cases, good in 9 cases, in 1 cases and poor in 0 cases. The good rate was 93.75%. conclusion: the pedicled saphenous neurocutaneous flap combined with Chinese medicine was an effective method for the treatment of ankle joint injury with soft tissue defect.
【作者单位】：广东省中医院珠海医院骨科;
【分类号】：R687.4

【共引文献】