翻卷技术的带蒂筋膜瓣联合游离植皮替代游离皮瓣治疗骨、肌腱外露创面的临床效果

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Abstract Objective To explore the clinical effect of pedicled fascia flap combined with free skin graft instead of free skin flap in the treatment of bone and tendon exposed wounds.Methods A total of 60 patients with exposed bone and tendon wounds admitted to the Department of Emergency Traumatology of Ganzhou People′s Hospital from March 2020 to February 2021 were selected as the research objects, and were divided into a control group (30 cases) and an observation group (30 cases) according to a random number table method.The control group was treated with the traditional fascia flap with the flip technique, and the observation group was treated with the pedicled fascia flap with the roll technique combined with free skin graft instead of free flap.Wound infection rate, skin graft survival rate, wound healing rate and visual analog scale (VAS) score were compared between the two groups.Results The wound healing rate(73.33%) and skin graft survival rate (90.00%) in the observation group were higher than those in the control group(36.67% and 50.00%), and the wound infection rate in the observation group (3.33%) was lower than that in the control group (26.67%), the differences were statistically significant (P＜0.05).Preoperative comparison of VAS scores between the two groups showed no statistical significance (P＞0.05).After surgery, VAS scores of the two groups were lower than those before surgery, and VAS score of the observation group was lower than that of the control group, the difference was statistically significant (P＜0.05).Conclusion For patients with exposed bone and tendon wounds, the combined treatment of pedicled fascia flaps and free skin grafts with the rolling technique is effective.It can reduce the infection rate of the wound, increase the survival rate of the skin graft and the rate of one-time wound healing, reduce pain, and the clinical application value is outstanding.

Key words： Bone and tendon exposed wound Free skin graft Free flap Rolling technique Pedicled fascial flap

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	HUANG Mou-zhang
	GUO Jiu-sheng
	ZHU Xiao-rong

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HUANG Mou-zhang,GUO Jiu-sheng,ZHU Xiao-rong. Clinical effect of pedicled fascia flap combined with free skin graft instead of free skin flap in the treatment of exposed bone and tendon wounds[J]. 中国当代医药, 2021, 28(29): 91-93转97.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I29/91

[1]	韩愚弟，韩岩，郭伶俐，等.修薄背阔肌肌瓣游离移植联合植皮术与传统背部游离皮瓣修复足背的对比研究[J].中华整形外科杂志，2020，36（6）：638-644.
[2]	梁承财，钟南.筋膜瓣转移后植皮治疗手指皮肤缺损合并肌腱与骨外露[J].中国骨与关节损伤杂志，2016，31（5）：556-556.
[3]	周丹亚，潘佳栋，胡瑞斌，等.游离胸背动脉穿支皮瓣在四肢创面修复中的临床应用[J].中华显微外科杂志，2018，41（3）：243-246.
[4]	王成，陈欣，沈余明，等.人工真皮联合自体皮片修复创伤后骨和/或肌腱外露创面的临床研究[J].中国医刊，2020，55（12）：66-69.
[5]	高秋明，石杰，薛云，等.小腿后侧宽蒂双动力皮瓣治疗前足皮肤软组织缺损[J].中国修复重建外科杂志，2018，32（9）：1192-1195.
[6]	熊清华，刘诚，李小林，等.局部筋膜瓣联合植皮在头面部骨外露创面修复中的应用[J].中国美容医学，2020，29（4）：68-70.
[7]	孟红阳，杨新蕾，张新合，等.负压封闭引流技术结合肌瓣转移游离植皮在面部难愈性创面修复中的应用[J].中国美容医学，2019，28（12）：22-26.
[8]	王飞，周萍，段淑芳，等.人工真皮支架联合灌洗式负压封闭引流在肌腱或骨外露创面修复中的应用[J].中华损伤与修复杂志（电子版），2020，15（6）：470-474.
[9]	Menna Barreto LN，Silva MBD，Engelman B，et al.Evaluation of Surgical Wound Healing in Orthopedic Patients with Impaired Tissue Integrity According to Nursing Outcomes Classification[J].Int J Nurs Knowl，2019，30（4）：228-233.
[10]	李庆林.颞枕跨区筋膜瓣联合植皮在头皮巨大肿物切除创面修复中的应用[J].中华肿瘤防治杂志，2018，25（14）：1009-1012.
[11]	董其强，谢书强，王礼军，等.负压封闭引流联合Lando人工真皮并结合自体皮移植应用于手足部骨肌腱外露伴骨折创面的临床研究[J].中华损伤与修复杂志（电子版），2020，15（1）：51-55.
[12]	Zomer HD，Varela GKDS，Delben PB，et al.In vitro comparative study of human mesenchymal stromal cells from dermis and adipose tissue for application in skin wound healing[J].J Tissue Eng Regen Med，2019，13（5）：729-741.
[13]	Abd El-Aleem SA，Abdelwahab S，Am-Sherief H，et al.Cellular and physiological upregulation of inducible nitric oxide synthase，arginase，and inducible cyclooxygenase in wound healing[J].J Cell Physiol，2019，234（12）：23618-23632.
[14]	缪锟.封闭式负压引流术联合游离植皮，皮瓣移植术治疗四肢难治性感染创面患者的效果[J].医疗装备，2020，407（10）：69-70.
[15]	熊胜，巨积辉，金光哲，等.游离带阔筋膜的股前外侧皮瓣修复手背伸肌腱及软组织缺损[J].中华显微外科杂志，2019，42（2）：132-135.
[16]	李敏雄，马军，郑紫君，等.双层人工真皮复合自体皮移植修复骨质和/或肌腱外露创面的临床疗效[J].中华烧伤杂志，2020，36（3）：179-186.
[17]	刘江涛，曾纯，欧阳容兰，等.人工真皮+负压封闭引流技术+自体刃厚皮片移植联合修复复杂创面的临床应用[J].中华损伤与修复杂志，2020，15（3）：215-218.
[18]	罗小波，刘道宏，罗展鹏，等.一期人工真皮负载自体刃厚皮移植联合负压创面治疗对骨/肌腱外露创面的修复效果观察[J].中国医学前沿杂志，2019，11（10）：67-70.
[19]	孙俊超.游离植皮联合VSD 技术修复糖尿病足创面的临床效果分析[J].医学理论与实践，2019，32（17）：2763-2764.