迟延腓肠神经逆行皮瓣修复糖尿病患者小腿下段及足部创伤后组织缺损的临床效果观察
Delayed the reverse sural flap for repairing post-traumatic tissue defects in the lower leg and foot
胡骁骅 1车可心 1曹彤瑜 1曹建坤 1赵筱卓 1黎明 1陈忠 1沈余明1
作者信息
- 1. 首都医科大学附属北京积水潭医院烧伤科,北京 100035
- 折叠
摘要
目的 探索迟延腓肠神经逆行皮瓣修复小腿下段及足部创伤后组织缺损的临床效果.方法 选取2013年5月至2023年12月在首都医科大学附属北京积水潭医院烧伤科应用迟延腓肠神经逆行皮瓣进行小腿下段及足部全层皮肤缺损创面修复的12例糖尿病患者,回顾性分析其临床治疗效果.结果 12例患者共13个创面,均采用迟延腓肠神经逆行皮瓣进行修复.1个皮瓣完全坏死,创面经植皮愈合;1个皮瓣远端坏死,去除坏死部分、改变旋转点后创面愈合;1个皮瓣术后3d皮瓣缺血范围较大,放弃皮瓣转移;1个皮瓣远端表皮坏死,经换药愈合;其余9个皮瓣完全存活.结论 迟延腓肠神经逆行皮瓣可提高皮瓣存活率,可能是糖尿病合并外周血管和/或神经病变患者创面修复的一种较为适宜的选择.
Abstract
Objective To explore the effect of delayed the reverse sural flap in repairing tissue defects in the lower leg and foot.Method Twelve diabetes patients suffering from soft tissue defects in the lower leg and foot were admitted to our hospital from May 2013 to December 2023,all wounds were repaired with delayed sural nerve flap.Result A total of 13 wounds in 12 patients were repaired using this surgical method.One flap completely necrotized,and the wound healed after skin grafting.One flap had distal necrosis,and after removing the necrotic part and changing the rotation point,the wound healed.One flap had a large ischemic area 3 days after surgery,and flap transfer was abandoned.One flap had distal epidermal necrosis,which healed after dressing change.The remaining 9 flaps survived completely.Conclusion Delayed the reverse sural flap can improve the survival rate of the flap,which may be a more appropriate choice for wound repair in diabetes patients with peripheral vascular and/or neuropathy.
关键词
糖尿病/伤口修复/皮瓣/皮瓣迟延术Key words
Diabetes/Wound repair/Sural nerve flap/Flap delay引用本文复制引用
基金项目
北京市自然科学基金-昌平创新联合基金(L234067)
出版年
2024
NETL
NSTL
万方数据