CAJ | 학술논문

目的：研究在合并血管损伤的胫骨骨感染及缺损中应用小腿腓骨皮瓣交腿修复的临床疗效及价值。方法采集本院2006年1月至2012年12月合并血管损伤的胫骨骨感染及缺损的40例患者的临床资料进行回顾性分析并随机分为观察组（20例）与对照组（20例），两组患者均彻底清创，观察组给予腓骨皮瓣交腿修复处理，对照组给予常规处理。结果两组患者移植的皮瓣均成活，感染最终得到控制，随访无复发，修复效果良好；随访后两组患者手术成功率无显著差异（P＞0.05），观察组术后并发症发生率较对照组显著减少，差异具有显著统计学意义（P＜0.05）；观察组患者的治愈时间较对照组更短（P＜0.05）。结论小腿外侧腓骨皮瓣交腿修复合并血管损伤的胫骨骨感染及缺损具有手术操作相对简单、成功率高、疗效好等优点，可恢复患者下肢行走功能，在临床应用上具有指导及实践意义。
목적：연구재합병혈관손상적경골골감염급결손중응용소퇴비골피판교퇴수복적림상료효급개치。방법채집본원2006년1월지2012년12월합병혈관손상적경골골감염급결손적40례환자적림상자료진행회고성분석병수궤분위관찰조（20례）여대조조（20례），량조환자균철저청창，관찰조급여비골피판교퇴수복처리，대조조급여상규처리。결과량조환자이식적피판균성활，감염최종득도공제，수방무복발，수복효과량호；수방후량조환자수술성공솔무현저차이（P＞0.05），관찰조술후병발증발생솔교대조조현저감소，차이구유현저통계학의의（P＜0.05）；관찰조환자적치유시간교대조조경단（P＜0.05）。결론소퇴외측비골피판교퇴수복합병혈관손상적경골골감염급결손구유수술조작상대간단、성공솔고、료효호등우점，가회복환자하지행주공능，재림상응용상구유지도급실천의의。
Objective To investigate the curative effect and value of ifbular lfap repairment in tibia infection and defection complicated with vascular injury. Methods Total of 40 cases with tibia infection and defection complicated with vascular injury from January 2006 to December 2012 were randomly divided into the observation group (n=20) and control group (n=20), and the datas were analyzed, retrospectively. Thorough debridement were carried out for patients in both groups, and ifbular lfap repairment was applied to observation group, while only conventional treatment was applied for patients in control group. Results Fibular lfap all survived in both groups and infection were under control. No recurrence was observed in the follow up and the repairment succeeded. The difference of success rate between the two groups was not signiifcant (P>0.05), while the incidence of postoperative complications was signiifcantly lower in the observation group compared with the control group (P<0.05). The cure period for patients was signiifcantly shorter in the observation group (P < 0.05). Conclusions Fibular flap repairment in tibia infection and defection complicated with vascular injury was advantaged for its relatively simple operation, high successful rate, which could recovere the walking function of lower limbs, and have guiding and practical signiifcance in clinical application.