摘要
目的探讨治疗足踝部软组织缺损采用负压封闭引流技术(VSD)联合腓肠神经营养血管皮瓣的临床效果。方法选取2015年3~6月我院收治的足踝部软组织缺损60例患者,将其随机分为对照组和研究组,每组各30例。对照组给予常规换药联合腓肠神经营养血管皮瓣的治疗方法,研究组给予VSD联合腓肠神经营养血管皮瓣的治疗方法。比较两组的换药次数、术前准备时间、抗生素使用时间及患者术后的住院时间。术后随访6个月,比较两组创面感染、皮瓣坏死的发生率及踝关节功能评分和疼痛VSA评分。结果研究组的换药次数少于对照组,术前准备时间及抗生素的使用时间均短于对照组(P<0.05);随访期间,研究组创面感染和皮瓣坏死发生率均远低于对照组(P<0.05);研究组踝关节功能评分和疼痛VSA评分均优于对照组,差异均有统计学意义(P<0.05)。结论VSD联合腓肠神经营养血管皮瓣治疗足踝部软组织缺损效果较理想,能显著缩短治疗时间,减小创面感染和皮瓣坏死的发生率,值得在临床上推广应用。
Objective To investigate the clinical effect of negative pressure closed drainage（VSD） combined with sural neurocutaneous vascular flap in the treatment of soft tissue defects of the ankle. Methods A total of 60 patients with soft tissue defect of the ankle from March to June 2015 in our hospital were selected and randomly divided into control group and study group, 30 cases in each group. The control group was treated with conventional dressing method combined with sural neurovascular flap, treatment group was given the negative pressure closed drainage treatment method combined with sural nerve nutrient vessel flaps. After the experiment, the times of change, the time of preparation, the time of use of antibiotics and the time of hospitalization were compared between the two groups. The postoperative patients were followed up for 6 months, and the incidence of wound infection, skin flap necrosis, ankle joint function score and pain VSA score in the two groups were compared. Results The number of dressing operation patients in the study group was lesser than that in the control group, preparation time and time of antibiotics were shorter than that in the control group（P〈0.05）. Probability study group of patients with wound infection and skin flap necrosis occurred during follow-up were much lower than that of the control group（P〈0.05）. Ankle joint pain score and VSA score of patients in study group were better than that in the control group, the differences were statistically significant（P〈0.05）.Conclusion Vacuum sealing drainage combined with sural neurocutaneous flap in the treatment of foot and ankle soft tissue defects is effective, which can significantly shorten the treatment time, reduce the incidence of wound infection and skin flap necrosis, and is worthy of clinical application.
作者
封挺
王永胜
李军
陈云辉
FENG Ting;WANG Yong-sheng;LI Jun;CHEN Yun-hui(Panyu Central Hospital of Guangzhou City,Guangdong Province,Guangzhou 511486,China)
出处
《中国当代医药》
2018年第21期55-57,共3页
China Modern Medicine
关键词
负压封闭引流技术
腓肠神经营养血管皮瓣
足踝部软组织缺损
Negative pressure closed drainage technique
Sural neuroeutaneous vascular flap
Soft tissue defect of the ankle
