踝部软组织缺损患者带蒂逆行小腿后侧肌皮瓣修复的疗效及对感觉功能的影响

doi:10.3969/j.issn.1006-5725.2023.21.021

Abstract

Abstract:

Objective To explore the curative effect of pedicled retrograde posterior leg myocutaneous flap in patients with ankle soft tissue defect， and analyze its related factors on patients' sensory function. Methods The data of 120 patients with ankle soft tissue defect who were treated in our hospital from January 2015 to January 2022 and followed up for one year after operation were selected. Among them， 60 cases were repaired with pedicled posterior leg myocutaneous flap （group A）， 40 were repaired with medial foot flap （group B） and 40 were repaired with ankle epithelial flap （group C）. The healing （flap survival， infection， appearance， texture）， sensory function， appearance satisfaction， Baird-Jackson score and complications of patients with ankle soft tissue defect in each group were compared. Results There was no difference in baseline data among the groups （P > 0.05）. Patients with ankle soft tissue defect in each group were observed for one year after flap repair. The survival rate of flap in group A was higher than that in group B and C， and the difference was statistically significant （P < 0.05）. There was no significant difference in infection， appearance， texture and walking function among the groups （P > 0.05）. After flap repair， the sensory function score of group A was better than that of group B and C， and the difference was statistically significant （P < 0.05）. The appearance satisfaction of group A was higher than that of group B and C， showing statistical significance （P < 0.05）. There was no difference in complications after flap repair in each group （P > 0.05）. Conclusion Skin flap should be chosen according to the area， shape and characteristics of the skin flap for patients with ankle soft tissue defect， and pedicled retrograde posterior leg myocutaneous flap has better curative effect， higher survival rate and higher excellent and good rate of ankle function. It is more helpful for limb function recovery of patients with ankle soft tissue defect.

Key words: ankle soft tissue defect, pedicled retrograde posterior leg myocutaneous flap repair, observation of curative effect, sensory function

CLC Number:

R816.8

Yuguo XIE,Zhiling FAN,Quanbao GUO,Qinghu ZENG. Curative effect of pedicled retrograde posterior leg myocutaneous flap in patients with ankle soft tissue defect and its influence on sensory function[J]. The Journal of Practical Medicine, 2023, 39(21): 2817-2821.

Figures/Tables 6

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References 19

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组别	例数	皮瓣存活	感染	外观良好	质地柔软	行走功能恢复
A组	60	57（95.00）	10（16.67）	52（86.67）	55（91.67）	51（85.00）
B组	40	31（77.50）^*	9（22.50）	33（82.50）	31（77.50）	33（82.50）
C组	40	32（80.00）^*	8（20.00）	32（80.00）	36（90.00）	34（85.00）
χ²值		7.496	0.543	0.824	4.707	0.135
P值		0.024	0.762	0.662	0.095	0.935

组别	例数	S₀	S₁	S₂	S₃
A组	60	0（0.00）	2（3.33）	6（10.00）	52（86.67）
B组	40	4（10.00）	5（12.50）	4（10.00）	27（67.50）^*
C组	40	3（7.50）	4（10.00）	4（10.00）	29（72.50）^*
Z值		2.543
P值		0.011

组别	例数	优	良	可	差	优良率
A组	60	53（88.33）	4（6.67）	2（3.33）	1（16.67）	57（95.00）
B组	40	28（70.00）^*	5（12.50）	4（10.00）	3（7.50）	33（82.50）
C组	40	27（67.50）^*	4（10.00）	5（12.50）	4（10.00）	31（77.50）
Z/χ²值		3.241				7.003
P值		0.019				0.030

组别	例数	满意	较满意	不满意	满意度
A组	60	50（83.33）	7（11.67）	3（5.00）	57（95.00）
B组	40	28（70.00）^*	6（15.00）	6（15.00）	34（85.00）
C组	40	25（62.50）^*	8（20.00）	7（17.50）	33（82.50）
Z/χ²值		2.438			44.103
P值		0.015			0.000

组别	例数	皮瓣衰竭	局部坏死	血液供应不足	疤痕挛缩
A组	60	8（13.33）	7（11.67）	9（15.00）	7（11.67）
B组	40	6（15.00）	5（12.50）	8（20.00）	7（17.50）
C组	40	6（15.00）	7（17.50）	6（15.00）	8（20.00）
χ²值		0.078	0.751	0.520	1.393
P值		0.962	0.687	0.771	0.496

Curative effect of pedicled retrograde posterior leg myocutaneous flap in patients with ankle soft tissue defect and its influence on sensory function

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