[1]范 辉,陈代全,伍维昌.小腿远端蒂穿支皮瓣与股前外侧游离穿支皮瓣修复足踝部软组织缺损效果比较[J].中国美容医学,2019,(10):4-7.
　FAN Hui,CHEN Dai-quan,WU Wei-chang. Comparison of the Effect of Leg Distal Pedicle Perforator Skin Flaps and AnterolateralThigh Free Perforator Skin Flaps in Repairing Soft Tissue Defects of Foot-ankle[J].Medical Aesthetics and Beauty,2019,(10):4-7.
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小腿远端蒂穿支皮瓣与股前外侧游离穿支皮瓣修复足踝部软组织缺损效果比较
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年10期
页码:
4-7
栏目:
出版日期:
2019-10-05

文章信息/Info

Title:
 Comparison of the Effect of Leg Distal Pedicle Perforator Skin Flaps and Anterolateral
Thigh Free Perforator Skin Flaps in Repairing Soft Tissue Defects of Foot-ankle
文章编号:
1008-6455（2019）10-0004-04
作者:
范 辉; 陈代全; 伍维昌
Author(s):
FAN Hui; CHEN Dai-quan; WU Wei-chang
关键词:
 ; [关键词]足踝部; 软组织缺损; 小腿远端蒂穿支皮瓣; 股前外侧游离穿支皮瓣; 修复效果; 感觉功能; 外形美观
Keywords:
Key words: foot-ankle;  soft tissue defect;  leg distal pedicle perforator skin flap;  anterolateral thigh free perforator skin flap; repair effect;  sensory function;  beautiful appearance
分类号:
R622
文献标志码:
A
摘要:

[摘要]目的：比较小腿远端蒂穿支皮瓣与股前外侧游离穿支皮瓣对足踝部软组织缺损的修复效果。方法：按照随机数字法将
2014年1月-2018年1月笔者医院收治的60例足踝部软组织缺损患者分为带蒂皮瓣组与游离皮瓣组，每组30例。带蒂皮瓣组与
游离皮瓣组患者分别采用小腿远端蒂穿支皮瓣与股前外侧游离穿支皮瓣修进行修复。术后随访12个月，比较两组手术效果
[皮瓣切取面积、手术时间、皮瓣愈合时间、两点辨别觉(two-point discrimination，2PD)、皮瓣成活率、外形满意度]，
采用美国矫形外科足踝协会(American society of orthopaedic foot and ankle surgery，AOFAS)踝-后足评分评估两组患
者的足踝功能情况，采用英国医学研究会(British medical research council，BMRC)感觉功能恢复分级评价标准对两组患
者的感觉功能进行评价。结果：带蒂皮瓣组的皮瓣切取面积明显小于游离皮瓣组[(109.25±24.33)cm2 vs (214.78±45.62)
cm2]，手术时间明显短于游离皮瓣组[(74.17±21.44)min vs(315.23±34.42)min]，差异均有统计学意义 (P ＜0.05)。两组
皮瓣愈合时间、皮瓣成活率、外形满意度、AOFAS踝-后足评分及感觉功能分级比较差异无统计学意义(P ＞0.05)。结论：两
种皮瓣对足踝部软组织缺损的修复效果相当，应对患者情况进行综合评估，选择合适的皮瓣。
Abstract:
Abstract: Objective To compare the repair effect of leg distal pedicle perforator skin flaps and anterolateral thigh free perforator
skin flaps on soft tissue defect of foot-ankle. Methods 60 patients with soft tissue defect of foot-ankle which was divided into the
pedicle skin flap group and the free skin flap group according to the random number method in our hospital from January 2014 to
January 2018, with 30 cases in each group. The patients were repaired with leg distal pedicle perforator skin flap and anterolateral
thigh free perforator skin flap in the pedicle skin flap group and the free skin flap group, respectively. All patients were followed up
for 12 months, the surgical effect index [skin flap resection area, operative time, skin flap healing time, two-point discrimination
(2PD), skin flap survival rate and appearance satisfaction] was compared between two groups. The foot-ankle function score of
American society of orthopaedic foot and ankle surgery (AOFAS) was used to evaluate the foot-ankle function in two groups. The
British medical research council (BMRC) feeling function grading evaluation standard was used to evaluate the feeling function
in two groups. Results The skin flap resection area of the pedicle skin flap group was significantly smaller than that of the free
skin flap group[(109.25±24.33)cm2 vs (214.78±45.62)cm2], the operative time was significantly shorter than that of free skin flap
group[(74.17±21.44)min vs (315.23±34.42)min], the differences were statistically significant(P＜0.05). There was no significant
difference in skin flap healing time, survival rate, shape satisfaction, AOFAS foot-ankle scores and feeling function classification
between the two groups(P＞0.05). Conclusion Two kinds of skin flap had similar effect in repairing of soft tissue defect of foot-ankle
and comprehensive assessment of the patient’s condition should be conducted to select the appropriate skin flap.

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更新日期/Last Update: 2019-11-05