Comparison of the Application Effects of Posterior Tibial Artery Perforator Flap and Pedicle Skin Flap Anastomosed with Subcutaneous Vein on Limb Skin and Soft Tissue Defects
Objective:To compare the application effect of the posterior tibial artery perforator flap and the pedicled skin flap anastomosing subcutaneous veins on skin and soft tissue defects in the limbs.Methods:68 patients with limb skin and soft tissue defects admitted to our hospital from March 2017 to March 2022 were selected as the study subjects,with 34 cases in each group.All patients underwent flap repair surgery,while the matched group received treatment with the posterior tibial artery perforator flap,while the obser-vation group received treatment with a pedicle skin flap anastomosing the subcutaneous vein.Compare the clinical efficacy,intraopera-tive bleeding volume,surgical time,hospital stay,wound healing time,postoperative pain level,and sensory function recovery between the two groups of patients.Finally,conduct a one-year follow-up of the two groups of patients to compare their incidence of complica-tions and secondary repair within one year.Results:The total response rate was higher in the observation group than in the matched group(P＜0.05);There was no difference in intraoperative bleeding volume,surgical time,and postoperative VAS score between the two groups of patients.The observation group had lower hospital stay and wound healing time than the matched group(P＜0.05);There was no difference in the number of patients with postoperative sensory function recovery at S3,S2,S1,and S0 levels between the two groups(P＞0.05).The number of patients with postoperative sensory function recovery at S4 level in the observation group was higher than that in the matched group(P＜0.05);The rate of postoperative complications and the rate of postoperative secondary repair in the observation group were significantly lower than that in the matched group(P＜0.05).Conclusion:Compared with the repair of skin and soft tissue de-fects in the limbs using the posterior tibial artery perforator flap,the repair of pedicle skin flap with subcutaneous vein anastomosis can further improve the treatment effect,shorten the hospitalization time of patients,promote wound healing,improve postoperative sensory function recovery level,reduce the incidence of long-term complications and secondary repair rate,and is worthy of clinical application and promotion.
NETL
NSTL
万方数据
