股前外侧游离皮瓣修复在足部皮肤软组织缺损治疗中的临床效果

探究股前外侧游离皮瓣修复在足部皮肤软组织缺损治疗中的临床效果。方法 选取2021年 1月-2023年5月遵义市播州区人民医院收治的40例足部皮肤软组织缺损患者，依据手术方法不同将其分为 对照组和观察组，各20例。对照组行传统带蒂皮瓣修复，观察组行股前外侧游离皮瓣修复，比较两组临床 指标、皮瓣成活率、足部功能恢复情况。结果 观察组术中出血量少于对照组，手术时间、住院时间短于对 照组，外形满意度高于对照组（P ＜0.05）；观察组皮瓣成活率高于对照组（P ＜0.05）；观察组AOFAS各 维度评分高于对照组（P ＜0.05）。结论 在足部皮肤软组织缺损治疗中，实施股前外侧游离皮瓣修复效果 确切，可有效减少术中出血量，缩短手术时间和住院时间，提高外形满意度和皮瓣成活率，促进足部功能 恢复。

Clinical Effect of Anterolateral Femoral Free Flap in the Treatment of Skin Soft Tissue Defect of Foot

To investigate the clinical effect of anterolateral thigh free flap in the treatment of skin soft tissue defect of foot. Methods A total of 40 patients with skin soft tissue defect of foot admitted to Bozhou District People''s Hospital, Zunyi City from January 2021 to May 2023 were selected and divided into control group and observation group according to different surgical methods, with 20 patients in each group. The control group was repaired with traditional pedicle flap, and the observation group was repaired with anterolateral thigh free flap. The clinical indexes, flap survival rate and foot function recovery were compared between the two groups. Results The intraoperative blood loss in the observation group was less than that in the control group, the operation time and hospitalization time were shorter than those in the control group, and the appearance satisfaction was higher than that in the control group (P <0.05). The survival rate of the flap in the observation group was higher than that in the control group (P <0.05). The AOFAS scores of each dimension in the observation group were higher than those in the control group (P <0.05). Conclusion In the treatment of skin soft tissue defect of foot, the anterolateral thigh free flap repair is effective, which can effectively reduce the amount of intraoperative blood loss, shorten the operation time and hospitalization time, improve the appearance satisfaction and flap survival rate, and promote the recovery of foot function.