中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
20期
7-9
,共3页
足踝部软组织缺损%皮瓣%踝关节%创面感染
足踝部軟組織缺損%皮瓣%踝關節%創麵感染
족과부연조직결손%피판%과관절%창면감염
Foot and ankle soft tissue defects%Flap%Ankle%Wound infection
目的：探讨负压封闭引流技术(vacuum sealing drainage, VSD)结合腓肠神经营养血管皮瓣修复足踝部软组织缺损的价值,为临床研究提供有力科学依据。方法42例足踝部软组织缺损患者作为分析对象,遵循随机数字表格法分成两组,研究组21例,采取VSD结合腓肠神经营养血管皮瓣修复治疗,对照组采取常规创面换药结合腓肠神经营养血管皮瓣修复治疗,比较分析两组术后住院时间、疼痛评分、踝关节功能、术后感染情况等指标。结果研究组患者住院时间平均(28.1±4.6)d,踝关节功能评分平均(93.2±6.5)分,对照组患者住院时间平均(16.2±3.3)d,踝关节功能评分平均(83.4±5.0)分,两组比较差异有统计学意义(P<0.05),其他指标除了住院费用,如手术准备时间、换药次数、创面感染、疼痛评分等,两组比较,差异有统计学意义(均P<0.05)。结论负压封闭引流技术(VSD)结合腓肠神经营养血管皮瓣修复治疗足踝部软组织缺损,能够有效缩短住院时间、减少创面感染、促进踝关节功能恢复,建议各医院借鉴使用。
目的：探討負壓封閉引流技術(vacuum sealing drainage, VSD)結閤腓腸神經營養血管皮瓣脩複足踝部軟組織缺損的價值,為臨床研究提供有力科學依據。方法42例足踝部軟組織缺損患者作為分析對象,遵循隨機數字錶格法分成兩組,研究組21例,採取VSD結閤腓腸神經營養血管皮瓣脩複治療,對照組採取常規創麵換藥結閤腓腸神經營養血管皮瓣脩複治療,比較分析兩組術後住院時間、疼痛評分、踝關節功能、術後感染情況等指標。結果研究組患者住院時間平均(28.1±4.6)d,踝關節功能評分平均(93.2±6.5)分,對照組患者住院時間平均(16.2±3.3)d,踝關節功能評分平均(83.4±5.0)分,兩組比較差異有統計學意義(P<0.05),其他指標除瞭住院費用,如手術準備時間、換藥次數、創麵感染、疼痛評分等,兩組比較,差異有統計學意義(均P<0.05)。結論負壓封閉引流技術(VSD)結閤腓腸神經營養血管皮瓣脩複治療足踝部軟組織缺損,能夠有效縮短住院時間、減少創麵感染、促進踝關節功能恢複,建議各醫院藉鑒使用。
목적：탐토부압봉폐인류기술(vacuum sealing drainage, VSD)결합비장신경영양혈관피판수복족과부연조직결손적개치,위림상연구제공유력과학의거。방법42례족과부연조직결손환자작위분석대상,준순수궤수자표격법분성량조,연구조21례,채취VSD결합비장신경영양혈관피판수복치료,대조조채취상규창면환약결합비장신경영양혈관피판수복치료,비교분석량조술후주원시간、동통평분、과관절공능、술후감염정황등지표。결과연구조환자주원시간평균(28.1±4.6)d,과관절공능평분평균(93.2±6.5)분,대조조환자주원시간평균(16.2±3.3)d,과관절공능평분평균(83.4±5.0)분,량조비교차이유통계학의의(P<0.05),기타지표제료주원비용,여수술준비시간、환약차수、창면감염、동통평분등,량조비교,차이유통계학의의(균P<0.05)。결론부압봉폐인류기술(VSD)결합비장신경영양혈관피판수복치료족과부연조직결손,능구유효축단주원시간、감소창면감염、촉진과관절공능회복,건의각의원차감사용。
ObjectiveTo explore vacuum sealing drainage(VSD) technology combined with sural neurovascular flap in repairing soft tissue defects ankle values to provide a strong scientific basis for clinical studies.MethodsDivided 42 patients with foot soft tissue defect into study group and contrl group, 21 cases in each group, study group received VSD combined sural neurovascular flap repair treatment, control group received conventional wound dressing combines sural neurovascular flap treatment, postoperative hospital stay, pain score, ankle function, postoperative infection and other indicators were comparatively analyzed.ResultsThe average hospital stay of study group was (28.1±4.6) d, ankle function score was (93.2±6.5) points, the average hospital stay of control group was (16.2±3.3) d, ankle function score was (83.4±5.0) points, the difference was statistically significant (P<0.05), other indicators in addition to hospital costs, such as surgical preparation time, number of dressing changes, wound infection, such as pain scores between the two groups, the difference was statistically significant (P<0.05 ).ConclusionVSD combined with sural neurovascular flap can effectively shorten hospital stays, reduce wound infection, promote functional recovery of the ankle join in repairing soft tissue defects of the foot and ankle, it is recommended to clinical promotion.
