| 苏广炎,王善正,张海翔,陈翔溆,郭玉冬.游离股前外侧皮瓣修复对急诊肢体复合组织缺损患者近期和远期预后的影响[J].,2022,(16):3112-3116 |
| 游离股前外侧皮瓣修复对急诊肢体复合组织缺损患者近期和远期预后的影响 |
| Effects of Free Anterolateral Thigh Flap Repair on the Short-term and Long-term Prognosis of Patients with Emergency Limb Composite Tissue Defect |
| 投稿时间：2021-12-28 修订日期：2022-01-24 |
| DOI：10.13241/j.cnki.pmb.2022.16.023 |
| 中文关键词: 游离股前外侧皮瓣 急诊 肢体复合组织缺损 |
| 英文关键词: Free anterolateral thigh flap Emergency Limb complex tissue defect |
| 基金项目:江苏省高等教育教改研究课题项目（2019JSJG244） |
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| 中文摘要: |
| 摘要 目的：探讨与分析游离股前外侧皮瓣修复对急诊肢体复合组织缺损患者近期和远期预后的影响。方法：2015年4月到2021年9月选择在本院急诊的下肢复合组织缺损患者66例作为研究对象，根据1:1随机分配原则把患者分为研究组与对照组各33例。研究组给予游离股前外侧皮瓣修复治疗，对照组给予下肢外侧皮瓣修复治疗，观察与随访患者的近期和远期预后情况。结果：所有患者都顺利完成急诊修复治疗，所有皮瓣都创面都Ⅰ期愈合，研究组的术后住院时间、术后换药次数、术后上皮组织完全覆盖创面时间、术后创面愈合时间少于对照组（P<0.05）。研究组术后3个月的皮瓣血供优良率为100.0 %，高于对照组的84.8 %（P<0.05）。研究组术后3个月的血肿、伤口感染、血管危象、骨髓炎等并发症发生率为3.0 %，低于对照组的27.3 %（P<0.05）。研究组术后12个月的皮瓣保护性感觉率为100.0 %，高于对照组的78.8 %（P<0.05）。结论：游离股前外侧皮瓣修复在急诊肢体复合组织缺损患者的应用能促进患者康复，提高皮瓣血供优良率，还可减少并发症的发生，改善患者远期的皮瓣保护性感觉状况。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate and analysis the effects of free anterolateral thigh flap repair on the short-term and long-term prognosis of patients with emergency limb composite tissue defect. Methods: From April 2015 to September 2021, 66 cases of patients with lower extremity composite tissue defects in the emergency department of our hospital were selected as the research subjects, and the patients were divided into the study group and the control group with 33 cases in each groups accorded to the 1:1 random allocation principle. The study group were given free anterolateral thigh flap repair, and the control group were given lower extremity lateral flap repair. The short-term and long-term prognosis of the patients were observed and followed up. Results: All patients successfully completed emergency repair treatment, and all flaps healed in stage I. The postoperative hospitalization time, postoperative dressing change times, postoperative epithelial tissue completely covering the wound and postoperative wound healing time of the study group were shorter than those of the control group (P<0.05). The excellent and good rates of flap blood supply in the study group at 3 months after operation were 100.0 %, which were higher than that in the control group, which were 84.8 %(P<0.05). The incidence rates of complications such as hematoma, wound infection, vascular crisis and osteomyelitis at 3 months after operation in the study group were 3.0 %, which were lower than 27.3 % in the control group(P<0.05). At 12 months after operation, the flap protective sensation rate in the study group were 100.0 %, which were higher than that in the control group, which were 78.8 %(P<0.05). Conclusion: The application of free anterolateral femoral flap repair in emergency patients with complex tissue defects of limbs can promote the recovery of patients, improve the blood supply rate of the flap, reduce the occurrence of complications, and improve the long-term protective sensory status of the flap. |
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