| VSD联合股前外侧穿支皮瓣治疗糖尿病足溃疡12例 |
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投稿时间：2018-11-11
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| 期刊信息：《中国骨伤》2019年，第32卷，第6期，第574-577页 |
| DOI：10.3969/j.issn.1003-0034.2019.06.018 |
| 基金项目: |
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中文摘要:
目的：探讨VSD负压吸引联合股前外侧穿支皮瓣修复糖尿病足溃疡的临床疗效。
方法：回顾性分析2015年6月至2017年12月就诊的糖尿病足12例，男8例，女4例；年龄49~71岁，平均57.4岁；溃疡创面形成时间1~24个月；足背部7例，足趾区5例；溃疡创面面积3 cm×5 cm~7 cm×10 cm。均采用清创VSD负压吸引、中药洗剂冲洗，皮瓣修复治疗，观察皮瓣存活情况、外形、感觉恢复程度。
结果：12例患者术后移植皮瓣全部成活，创面修复满意，供区愈合良好。随访6~18个月，12例皮瓣存活良好，皮瓣质地柔软，弹性良好，无明显臃肿，感觉部分恢复。
结论：糖尿病足溃疡清创后VSD负压引流联合股前外侧穿支皮瓣移植临床效果满意，值得推广。 |
| 【关键词】糖尿病足 外科皮瓣 溃疡 |
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| Treatment of 12 patients with diabetic foot ulcers by VSD combined with anterior lateral perforator flap |
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ABSTRACT
Objective:To explore the clinical efficacy of VSD vacuum suction combined with anterolateral thigh perforator flap in repairing diabetic foot ulcer.
Methods:From June 2015 to December 2017,12 patients with diabetic foot,including 8 males and 4 females,with an average age of 57.4 years old (ranged 49 to 71 years old) and ulcer formation time (1 month to 2 years) were analyzed retrospectively. The wound area of ulcer ranged from 3 cm×5 cm to 7cm×10 cm. All the patients were treated with debridement and VSD negative pressure aspiration,washing with Chinese medicine lotion and flap repair. The survival,appearance and sensory recovery of the flap were observed.
Results:All 12 flaps survived after operation,and the wounds were successfully repaired. The donor site healed well. During the follow-up of 6 to 18 months,the flaps of 12 patients survived well and their appearance was satisfactory,sensory partial recovery.
Conclusion:The clinical effect of VSD negative pressure drainage combined with anterolateral femoral perforator flap after debridement of diabetic foot ulcer is satisfactory and worth popularizing. |
| KEY WORDS Diabetic foot Surgical flaps Ulcer |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 石磊,赵光彩.VSD联合股前外侧穿支皮瓣治疗糖尿病足溃疡12例[J].中国骨伤,2019,32(6):574~577 |
| 英文格式: | SHI Lei,ZHAO Guang-cai.Treatment of 12 patients with diabetic foot ulcers by VSD combined with anterior lateral perforator flap[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(6):574~577 |
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