显微外科技术游离移植修复足踝部软组织缺损的效果观察

目的 观察显微外科技术游离移植修复足踝部软组织缺损的应用效果.方法 选取本院自2012年1月至2014年12月收治的60例足踝部软组织缺损患者作为研究对象,随机分为对照组与观察组,每组30例.对照组采用常规交腿带蒂皮瓣修复术,观察组则采用显微外科游离移植瓣修复方案,比较两组修复效果及手术一般指标.结果 观察组住院时间为(19.3±4.1)d,治疗费用为(1.5±0.3)万元,与对照组相比差异有统计学意义(P＜0.05);观察组皮瓣存活率、感觉及两点辨别觉恢复率分别为96.7％、86.7％、90.0％,感染率为3.3％,皮瓣外形恢复满意率为86.7％,与对照组相比差异均有统计学意义(P＜0.05).结论 在足踝部软组织缺损修复中,采用显微外科技术联合游离移植修复术,治疗效果好,患者皮瓣外形、感觉及功能恢复好,感染发生率低,值得推广.

Microsurgical technique combined with free grafting in repairing soft tissue defect of foot and ankle

Objective To observe the application effect of microsurgical technique combined with free grafting in repairing soft tissue defect of foot and ankle.Methods 60 patients with soft tissue defect of foot and ankle treated at our hospital from January,2012 to December,2014 were selected as study objects and were randomly divided into a control group and an observation group,30 cases for each group.The control group were treated with routine pedicled cross-leg flap prosthesis while the observation group microsurgical technique combined with free flap transplantation repair regimen.The repair effects and general indicators of surgery in the 2 groups were compared.Results The hospitalization time was (19.3±4.1) d and the treatment costs was (15 000±3 000) yuan in the observation group,with statistical differences from those of the control group (P＜0.05);The survival rate of flaps and recovery rates of sensory and two-points discrimination were 96.7％,86.7％,90.0％,respectively,the infection rate was 3.3％,and the satisfaction rate of flap shape recovery was 86.7％ in the observation group,with statistical differences from those of the control group (P＜0.05).Conclusions Microsurgical technique combined with free grafting in repairing soft tissue defect of foot and ankle is effective.The recovery of appearance,sensory,and function of flaps is good.The incidence of infection is low.It is worth being generalized.