[1]张 军,刘晓雪.股前外侧皮瓣游离移植联合负压封闭引流技术修复下肢远端软组织缺损[J].中国美容医学,2018,(06):25-27.
　ZHANG Jun,LIU Xiao-xue. Effect of Femoral Anterior Lateral Flap Free Transplantation Combined with Vacuum Sealing Drainage in Repairing of Distal Soft Tissue Defect of Lower Extremity[J].Medical Aesthetics and Beauty,2018,(06):25-27.
点击复制

股前外侧皮瓣游离移植联合负压封闭引流技术修复下肢远端软组织缺损
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年06期
页码:
25-27
栏目:
出版日期:
2018-07-10

文章信息/Info

Title:
 Effect of Femoral Anterior Lateral Flap Free Transplantation Combined with Vacuum Sealing Drainage in Repairing of Distal Soft Tissue Defect of Lower Extremity
文章编号:
1008-6455（2018）06-0025-03
作者:
张 军1; 刘晓雪2
Author(s):
ZHANG Jun1; LIU Xiao-xue2
关键词:
[关键词]股前外侧皮瓣; 负压封闭引流技术; 软组织缺损; 移植
Keywords:
Key words: anterolateral thigh flap;  VSD;  soft tissue injuries;  transplant
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨股前外侧皮瓣游离移植联合负压封闭引流技术(Vacuum sealing drainage, VSD)修复下肢远端软组织缺损的临床疗效。方法：将笔者医院收治的86例严重下肢皮肤或软组织缺损患者随机分为观察组和对照组，每组43例。观察组采用VSD联合股前外侧皮瓣游离移植修复，对照组采用股前外侧皮瓣游离移植联合常规引流，比较两组患者临床疗效及感染发生率等。结果：观察组治疗总有效率为93.02%，高于对照组的83.72%，差异有统计学意义（P＜0.05）。观察组创面愈合时间、感染率明显低于对照组，皮瓣移植愈合率高于对照组，差异均有统计学意义（P＜0.05）。讨论：股前外侧皮瓣游离移植联合VSD修复下肢远端软组织缺损，疗效好，操作简便，是值得推广的临床治疗方案。

Abstract:
Abstract: Objective To investigate effect of femoral anterior lateral flap free transplantation combined with vacuum sealing drainage in repairing of distal soft tissue defect of lower extremity. Methods Eighty-six patients with distal soft tissue defect of lower extremity in our hospital were randomly divided into the observation group and the control group, 43 cases in each group. The observation group was treated with femoral anterior lateral flap free transplantation combined with vacuum sealing drainage, while the control group received femoral anterior lateral flap free transplantation combined with common pressure drainage. The clinical efficacy and incidence of infection were compared between the two groups. Results The total effective rate of the observation group was 93.02%, which was higher than that in the control group(83.72%), the difference was statistically significant(P＜0.05). The wound healing time and infection rate in the observation group were significantly lower than those in the control group, and the healing rate of skin flap transplantation was higher than that of the control group(P＜0.05). Conclusion Femoral anterior lateral flap free transplantation combined with VSD for repairing distal soft tissue defect of the lower limb is easy to operate and has high efficiency.It is a worthy clinical treatment plan.

相似文献/References:

[1]孟红阳,杨新蕾,张新合,等. 负压封闭引流技术结合肌瓣转移游离植皮在面部难愈性创面修复中的应用[J].中国美容医学,2019,(12):22.
　MENG Hong-yang,YANG Xin-lei,ZHANG Xin-he,et al. Vacuum Sealing Drainage Combined with Free Skin Grafting of Muscle Flap Transferto Repair the Refractory Facial Wounds[J].Medical Aesthetics and Beauty,2019,(06):22.
[2] 张 朦,章 磊,杜 琳. VAC联合邮票植皮修复儿童难愈性创面疗效探讨[J].中国美容医学,2020,(12):82.
　 ZHANG Meng,ZHANG Lei,DU Lin. Study on the Effect of VAC Combined with Stamp Skin Grafting on RefractoryWounds in Children[J].Medical Aesthetics and Beauty,2020,(06):82.
[3] 白雪剑,马秀峰,张艺露. 从皮肤屏障功能及血管生成探讨MEBT/MEBO对四肢创伤创面的修复机制[J].中国美容医学,2021,(3):56.
　 BAI Xue-jian,MA Xiu-feng,ZHANG Yi-lu. Study on the Mechanism of MEBT/MEBO in the Repair of Wounds of Limb from theFunction of Skin Barrier and Angiogenesis[J].Medical Aesthetics and Beauty,2021,(06):56.
[4]贾素珍,李 丽,李 静.VSD结合外固定术及皮瓣移植治疗开放胫腓骨骨折并软组织缺损的疗效[J].中国美容医学,2023,(6):44.[doi:10.15909/j.cnki.cn61-1347/r.005730]
　JIA Suzhen,LI Li,LI Jing.Effi cacy of VSD Combined with External Fixation and Skin Flap Transplantation in the Treatment of Open Tibiofi bular Fractures with Soft Tissue Defects[J].Medical Aesthetics and Beauty,2023,(06):44.[doi:10.15909/j.cnki.cn61-1347/r.005730]
[5]阳健美,李 阳.专项疼痛管理对接受VSD的烧伤整形患者疼痛缓解及创面恢复的影响[J].中国美容医学,2023,(6):175.
　YANG Jianmei,LI Yang.Effect of Special Pain Management on Pain Relief and Wound Recovery in Patients Undergoing Burn Plastic Surgery and VSD[J].Medical Aesthetics and Beauty,2023,(06):175.
[6]陈叶丹,符琼燕,陈焕雄,等.改良负压封闭引流技术联合集束化护理对断肢再植患者术后创面修复的影响[J].中国美容医学,2023,(8):178.[doi:10.15909/j.cnki.cn61-1347/r.005826]
　CHEN Yedan,FU Qiongyan,CHEN Huanxiong,et al.Infl uences of Improved Vacuum Sealing Drainage Combined with Cluster Nursing on Wound Repair After Replantation of Severed Limb?/html>[J].Medical Aesthetics and Beauty,2023,(06):178.[doi:10.15909/j.cnki.cn61-1347/r.005826]
[7]郑 军,严中飞,刘 港,等.负压封闭引流技术联合美皮康敷料治疗压力性溃疡的疗效观察[J].中国美容医学,2024,(5):31.
　ZHENG Jun,YAN Zhongfei,LIU Gang,et al.Effi cacy of Vacuum Sealing Drainage Combined with Mepilex Dressings in the Treatment of Pressure Ulcers?/html>[J].Medical Aesthetics and Beauty,2024,(06):31.
[8]蔡 淼,侯丽名.基于行动研究法的健康管理联合VSD对深度烧伤患者心理状态及创面修复效果的影响[J].中国美容医学,2024,(10):116.
　CAI Miao,HOU Liming.Infl uence of Action Research Method-based Health Management Combined with Vacuum Sealing Drainage Technology on Psychological State and Wound Repair Effect of Patients with Deep Burn[J].Medical Aesthetics and Beauty,2024,(06):116.

更新日期/Last Update: 2018-08-07