蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2014年
8期
1062-1064
,共3页
丁长年%徐小春%杨绪亮%路勇%武剑
丁長年%徐小春%楊緒亮%路勇%武劍
정장년%서소춘%양서량%로용%무검
引流%内踝上穿支皮瓣%足踝部%感染创面
引流%內踝上穿支皮瓣%足踝部%感染創麵
인류%내과상천지피판%족과부%감염창면
drainage%medial supramalleolar perforator flap%foot and ankle%wound infection
目的:探讨负压封闭引流技术( VSD)联合胫后动脉内踝上穿支皮瓣修复足踝部感染创面的临床效果。方法:对16例足踝部感染创面先以VSD行足踝部感染创面的引流治疗,再以胫后动脉内踝上穿支为血管蒂设计、切取皮瓣,修复足踝部软组织缺损创面,皮瓣面积4 cm×10 cm~8 cm×14 cm。结果:16例皮瓣均一期成活,质地柔软,外形良好,供区无明显并发症,患者术后满意度评分为6~9分。结论:VSD有利于感染创面的治疗,缩短了病程,VSD联合胫后动脉内踝上穿支皮瓣对足踝部感染创面的修复有良好的临床效果。
目的:探討負壓封閉引流技術( VSD)聯閤脛後動脈內踝上穿支皮瓣脩複足踝部感染創麵的臨床效果。方法:對16例足踝部感染創麵先以VSD行足踝部感染創麵的引流治療,再以脛後動脈內踝上穿支為血管蒂設計、切取皮瓣,脩複足踝部軟組織缺損創麵,皮瓣麵積4 cm×10 cm~8 cm×14 cm。結果:16例皮瓣均一期成活,質地柔軟,外形良好,供區無明顯併髮癥,患者術後滿意度評分為6~9分。結論:VSD有利于感染創麵的治療,縮短瞭病程,VSD聯閤脛後動脈內踝上穿支皮瓣對足踝部感染創麵的脩複有良好的臨床效果。
목적:탐토부압봉폐인류기술( VSD)연합경후동맥내과상천지피판수복족과부감염창면적림상효과。방법:대16례족과부감염창면선이VSD행족과부감염창면적인류치료,재이경후동맥내과상천지위혈관체설계、절취피판,수복족과부연조직결손창면,피판면적4 cm×10 cm~8 cm×14 cm。결과:16례피판균일기성활,질지유연,외형량호,공구무명현병발증,환자술후만의도평분위6~9분。결론:VSD유리우감염창면적치료,축단료병정,VSD연합경후동맥내과상천지피판대족과부감염창면적수복유량호적림상효과。
Objective:To explore the clinical effects of vacuum sealing drainage ( VSD ) technology combined with medial supramalleolar perforator flap of posterior tibial artery in repairing foot and ankle wound infection. Methods:Sixteen patients with foot and ankle wound infection were treated with VSD technology at first. The medial supramalleolar perforator flap of posterior tibial artery with 4 cmí10 cm to 8 cmí14 cm was designed,and then the flap was transplanted into the defect site of foot and ankle to repair soft tissue. Results:All flaps survived,and the flap was soft texture and good appearance. No obvious complication was found in donor site. The score of patient satisfaction was 6 to 9 points. Conclusions:VSD technology can promote the recovery of wound infection, and shorten the duration of disease. The clinical effects of VSD technology combined with medial supramalleolar perforator flap of posterior tibial artery in repairing foot and ankle wound infection are good.