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

Abstract

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

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.

References

[1] Jiang Y, Ran X, Jia L, et al. Epidemiology of type 2 diabetic foot problems and predictive factors for amputation in China[J]. Int J Low Extrem Wounds, 2015,14(1): 19 -27.
[2] 冉兴无，杨兵全，许樟荣. 我国糖尿病足病的诊治现状与未来的研究方向[J]. 中华糖尿病杂志，2014，6(7): 437-439.
[3] 许蕾, 钱泓洁, 张杉杉, 等. 不同程度感染的糖尿病足溃疡患者临床特点及预后分析[J]. 中华内分泌代谢杂志, 2013, 29(2): 116-119.
[4] Lipsky BA, Berendt AR, Cornia PB, et al. 2012 Infectious diseases society of america clinical practice guideline for the diagnosis and treatment of diabetic foot infections[J]. Clin Infect Dis, 2012, 54（12）: e132-e173.
[5] Bakker K，Apelqvist J，Schaper NC. Practical guidelines on the management and prevention of the diabetic foot 2011[J]. Diabetes Metab Res Rev，2012，28（Suppl 1）：225-231.
[6] Sajid MT，Mustafa Qu，Shaheen N，et al. Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers[J]. J Coll Physicians Surg Pak，2015, 25(11)：789-793.
[7] Ghanassia E, Villon L, Thuan Dit Dieudonné JF，et a1．Long term outcome and disability of diabetic patients hospitalized for diabetic foot ulcers: a 6.5 year follow-up study[J]. Diabetes Care, 2008，3l(7)：1288-1292.
[8] Wu SC, Driver VR, Wrobel JS，et a1. Foot ulcers in the diabetic patient，prevention and treatment[J]. Vasc Health Risk Manag，2007，3(1)：65-76.
[9] 杜冬，庄永青，傅小宽，等.糖尿病足的显微外科治疗[J]. 中华显微外科杂志 2006, 29(6)： 429-431.
[10] 钟世镇，徐永清，周长满．皮神经营养血管皮瓣解剖基础及命名[J].中华显微外科杂志，1999，22(1)：37-39．
[11]Stevanovi? G，Djordjevi? B, Dakovi? M，et a1．Fasciocutaneous perforators of the lower leg-anatomic study and clinical significance[J].Vojnosanit Pregl，2010, 67(2): 136-144.
[12]杨亚东，周娟，唐文，等. 内踝上皮支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，2017，35（4）: 441-444.

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

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 11

Metrics

Comments

Recommended 0

[1]	Chen Yinyan, Zhang Min, Wang Xueer, Lu Kui, Fang Zhaoxin, Zhang Lin. A method of constructing an animal model of cutaneous infectious chronic ulcer [J]. Chinese Journal of Clinical Anatomy, 2023, 41(5): 565-571.
[2]	Chang Shusen, He Chunnian, Chen Wei, Zhou Jian, Zhang Fang, Nie Kaiyu, Deng Chengliang, Wei Zairong. Application of descending branch of lateral circumflex femoral artery Flow-through flap combined with MIPPO in emergency treatment of Gustilo type IIIC fracture of tibiofibula [J]. Chinese Journal of Clinical Anatomy, 2022, 40(6): 733-737.
[3]	Xue Jiajie, Wang Yaojun, Ren Zhongliang, Guo Lei. Application of the Flow-through flap of descending branch of lateral circumflex femoral artery in the limb salvage treatment of high-voltage electrical injury of the upper extremity [J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 707-710.
[4]	Deng Changhua, Kong Fanfu, Wu Zhen, Nie Meng, Liu Chao. Clinical application of the perforator flap based on the first perforating branch of profunda femoral artery in reconstruction of patients with IV degree pressure ulcers in the region of buttock and thigh [J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 351-354.
[5]	Kang Yongqiang, Rui Yongjun, Wu Yongwei, Ma Yunhong, Liu Jun, Gu Jun, Xu Peng, Lin Fang. Repair soft tissue defects of distal termination of leg and around the foot and ankle with perforators positioning technique assisited by color dopplerultrasound [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 202-206.
[6]	Wang Kai, Ju Jihui, Jin Guangzhe, Guo Liping, Li Yadong. Modified dorsal branch flap of digital artery for repair of fingertip defect [J]. Chinese Journal of Clinical Anatomy, 2021, 39(1): 101-104.
[7]	DENG Zhao-jian, JIANG Qi-jun, GAN Zheng-kai. Clinical application and effect of microsurgery through eyebrow arch for the treatment of craniopharyngioma [J]. Chinese Journal of Clinical Anatomy, 2019, 37(6): 704-707.
[8]	ZHANG Wen-yi，GAO Feng, YI Zhi-qiang, LIU Ai-xian. Clinical application of triangular anatomy and area of cavernous sinus [J]. Chinese Journal Of Clinical Anatomy, 2019, 37(1): 1-4.
[9]	YANG Ya-dong, ZHOU Juan, TANG Wen， ZHANG Fei, WEI Xiao-jun. The medial supra-malleolus perforator flap for the clinical treatment of diabetic foot ulcers [J]. Chinese Journal Of Clinical Anatomy, 2017, 35(4): 441-444.
[10]	SONG Hai-Min, ZHANG Shen-Yu, JIANG Qiu-Hua, FAN Dun, QI Song-Chao. Microsurgical anatomy and clinical significance of liliequist and premesencephalic membranes [J]. Chinese Journal Of Clinical Anatomy, 2012, 30(6): 612-616.
[11]	CHA Shua-Beng, LEI Lin-Zhong, ZHOU Chi-Long, LI 　Chen, TANG Qing-Hua, ZHANG Cai-Meng, LIN 　Yong, HUANG De-Biao. Ankle part of small saphenous vein and its tributaries: anatomy and clinical significance [J]. Chinese Journal Of Clinical Anatomy, 2010, 28(6): 620-.