隐神经营养血管皮瓣在糖尿病足部溃疡的临床应用

doi:10.13418/j.issn.1001-165x.2018.02.021

中国临床解剖学杂志 ›› 2018, Vol. 36 ›› Issue (2): 226-230.doi: 10.13418/j.issn.1001-165x.2018.02.021

隐神经营养血管皮瓣在糖尿病足部溃疡的临床应用

杨亚东¹，　周娟²，　唐文¹，　张飞¹，　刘氜¹，　魏晓军¹

1. 赣南医学院第一附属医院骨科，江西赣州 341000； 2. 赣南医学院，江西赣州 341000

收稿日期:2017-11-03 出版日期:2018-03-25 发布日期:2018-05-04
通讯作者: 周娟，博士，E-mail：zhoujuan1213@163.com
作者简介:杨亚东（1983-），男，主治医师，南方医科大学博士在读，E-mail：ydgogai@163.com
基金资助:
2017年江西省卫生计生委科技计划课题（20171107）;2016年赣州市卫生计生委科技计划项目（2016-2-5）

The Saphenous neurocutaneous vascular flap in the clinical application of diabetic foot ulcers

YANG Ya-dong¹, ZHOU Juan², TANG Wen¹，ZHANG Fei¹, LIU Yang¹，WEI Xiao-jun¹

1. Department of Orthopaedics， First Affiliated Hospital of Gannan Medical University，Ganzhou 341000，Jiangxi Province，China； 2.Gannan Medical University，Ganzhou 341000，Jiangxi Province，China

Received:2017-11-03 Online:2018-03-25 Published:2018-05-04

摘要/Abstract

摘要：

目的　探讨应用隐神经营养血管皮瓣修复糖尿病足部溃疡的临床疗效。方法　2010年9月~2016年9月，在内科治疗控制血糖的基础上，对糖尿病足合并Wagner分级2级以上的足部溃疡采用隐神经营养血管皮瓣修复35例共36足。结果　术后皮瓣血运良好，创面愈合良好，无皮瓣坏死。所有病例随访3~12个月，皮瓣质地优良，成活良好，耐磨压，大部分患者可恢复保护性感觉，患足可行走，功能恢复满意。结论　应用隐神经营养血管皮瓣修复糖尿病足部溃疡临床效果良好，可缩短患者病程，其手术操作简单，易推广，能有效地改善患者生活质量，降低致残率。

关键词: 隐神经营养血管皮瓣, 　糖尿病足, 　溃疡, 　显微外科手术

Abstract:

Objective　To investigate the clinical efficacy of the saphenous neurocutaneous vascular flap in diabetic foot ulcers.　Methods　From September 2010 to September 2016, 35 patients with 36 diabetic foot complicated with Wagner grade 2 or more foot ulcers were treated with saphenous neurocutaneous vascular flaps. Results The flaps had good blood supply, good wound healing and no necrosis. All patients were followed up for 3~12 months. The flaps were of good texture, good survival, tolerance to pressure, and most of the patients could recover the protective sensation. The foot could walk, and the function recovered satisfactorily.　Conclusion　The application of the saphenous neurocutaneous vascular flap for the diabetic foot ulcer has good clinical effecacy and can shorten the course of the disease. The operation, being simple and easy to popularize, can effectively improve the quality of life of patients and reduce the disability rate.

Key words: Saphenous neurocutaneous vascular flap, 　Diabetic foot, 　Ulcer, 　Microsurgery

杨亚东,周娟,唐文,张飞,刘氜,魏晓军. 隐神经营养血管皮瓣在糖尿病足部溃疡的临床应用[J]. 中国临床解剖学杂志, 2018, 36(2): 226-230.

YANG Ya-dong, ZHOU Juan, TANG Wen，ZHANG Fei, LIU Yang，WEI Xiao-jun. The Saphenous neurocutaneous vascular flap in the clinical application of diabetic foot ulcers[J]. Chinese Journal Of Clinical Anatomy, 2018, 36(2): 226-230.

参考文献

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隐神经营养血管皮瓣在糖尿病足部溃疡的临床应用

The Saphenous neurocutaneous vascular flap in the clinical application of diabetic foot ulcers

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