目的 探讨应用延迟腓肠神经筋膜穿支蒂皮瓣修复中足及前足创面的效果.方法 回顾性分析我院2005年5月-2015年7月收治的41例(45 ～ 65岁)中足及前足损伤患者,其中19例行延迟腓肠神经筋膜穿支蒂皮瓣转移修复创面,另22例行直接腓肠神经筋膜穿支蒂皮瓣转移修复创面,比较术后情况.结果 两组一般资料差异无统计学意义.术后两组皮瓣仍需二期手术处理或长期换药处理的病例数分别为2例及10例(P=0.014),半年后两组皮瓣的优良率分别为84.21％及81.82％(P--0.59).结论 中足及前足损伤时应用延迟腓肠神经筋膜穿支蒂皮瓣修复创面的近期效果优于直接行皮瓣转移,缩短了病人住院时间并减少了二次手术率.%Objective To investigate the effect of delayed perforator-based sural neurofasciocutaneous flap on repair of midfoot and forefoot wound.Methods A retrospective study of 41 cases (aged from 45 to 65 years old) with midfoot and forefoot injury from May 2005 to July 2015 was performed.Of the 41 cases,19 cases underwent delayed perforator-based sural neurofasciocutaneous flap repair on wounds,and the other 22 cases with direct perforator-based sural neurofasciocutaneous flap repair.Operation indexes of patients in two groups were compared postoperatively.Results No significant difference was found in general data between two groups.The number of flaps that still needed secondary operation or long-term dressing change were 2/19 and 10/22 with significant differences between two groups (P=0.014).The excellent rates after six months were 84.21％ and 81.82％ with no significant difference (P=0.59).Conclusion As for the short-term effect,delayed perforator-based sural neurofasciocutaneous flap for repair of midfoot and forefoot wound is better than direct perforator-based sural neurofasciocutaneous flap,which can shorten hospital stay and reduce the risk of secondary operation.
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