摘要
目的：总结负压引流结合腓肠神经营养血管皮瓣治疗足踝部慢性感染创面的临床效果。方法回顾性分析我院2010－2015年负压引流结合腓肠神经营养血管皮瓣修复足踝部慢性感染创面58例临床效果。所有病例均一期清创，负压吸引1、2次，待创面清洁，伤口分泌物培养阴性后切取腓肠神经营养血管皮瓣修复创面。结果58例患者皮瓣全部成活，一期愈合54例；皮瓣边缘愈合欠佳4例，经换药愈合。术后随访1～3年，所有皮瓣未见明显肿胀，皮瓣质地良好，外观满意。结论负压引流结合腓肠神经营养血管皮瓣修复足踝部慢性感染创面疗效确切，皮瓣转位前创面应彻底清创，边缘瘢痕组织应酌情切除。
Objective To summarize the clinical effect and experience of vacuum sealing drainage （ VSD） technology combined with sural neurovascular flap to repair chronic and infection soft tissue defects in the foot and ankle.Methods From 2010 to 2015, the clinical effect of 58 cases patients who were treated negative pressure drainage combined with sural nerve nutrient vessel flap for repairing foot and ankle chronically infected wounds in Zhongnan Hospital of Wuhan University were retrospective analyzed.All cases were treated by debridement,negative pressure suction 1, 2 times, cleaning the wound, Wound secretions were negative after culture,then cut and take the nutrient vessels of the nutrient vessels to repair the wound.Results All flaps survived completely in 58 cases,54 cases inⅠstage healing,postoperative 4 cases were suffered with distal skin flap necrosis,and healed after dressing.The outline and function were satisfactory during 1 to 3 years follow.up.Conclusion The effect of negative pressure drainage combined with sural nerve nutrient vessel flap for repairing chronic wound of foot and ankle is exact, skin flap transposition of the wound should be thoroughly debridement,edge scar tissue should be appropriate resection.
出处
《中国综合临床》
2016年第8期720-722,共3页
Clinical Medicine of China
关键词
足踝部软组织缺损
腓肠神经营养血管皮瓣
感染
负压引流
Foot and ankle soft tissue defects
Nutrient vessels of the gastrocnemius
Infection
Negative pressure drainage
