| 范培军,袁德利,王志坚,仲 涛,刘智全,朱英会.足踝骨肿瘤切除后采用腓肠神经营养血管皮瓣术的修复效果及对运动功能的影响[J].,2020,(22):4340-4343 |
| 足踝骨肿瘤切除后采用腓肠神经营养血管皮瓣术的修复效果及对运动功能的影响 |
| Effect of Sural Neurovascular Flap and Its Influence on Motor Function after Tumor Resection of Foot and Ankle |
| 投稿时间：2020-05-04 修订日期：2020-05-29 |
| DOI：10.13241/j.cnki.pmb.2020.22.031 |
| 中文关键词: 足踝骨肿瘤 腓肠神经营养血管皮瓣术 修复效果 运动功能 |
| 英文关键词: Tumor of foot and ankle Sural neurovascular flap Repair effect Motor function |
| 基金项目:国家卫生计生委医药卫生科技发展研究中心项目(W2015CAE173) |
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| 中文摘要: |
| 摘要 目的：探讨足踝骨肿瘤切除后采用腓肠神经营养血管皮瓣术的修复效果及对运动功能的影响。方法：选取我院2013~2019年收治的足踝骨肿瘤切除患者83例，应用随机分组法将其分为研究组41例和对照组42例。对照组患者应用以往清创换药的保守修复方法，研究组患者应用腓肠神经营养血管皮瓣术修复方法，对比两组患者的治疗总有效率与致残率、住院费用、住院时间以及治疗前后运动功能的变化。结果：治疗后，研究组的总有效率为90.24%，显著高于对照组(64.29%，P＜0.05)；两组患者住院花费比较差异无统计学意义(P＞0.05)；研究组患者的住院天数上明显短于对照组(P＜0.05)；研究组患者的致残率为2.44%，明显低于对照组(16.67%，P＜0.05)；研究组患者修复后的Fugl-Meyer下肢运动功能评定(Fugl-Meyer assessment，FMA)和Berg平衡量表(Berg Balance Scale，BBS)评分均明显高于对照组(P＜0.05)。结论：腓肠神经营养血管皮瓣术修复术较清创换药的保守修复方法可以更有效修复足踝骨肿瘤广泛切除术后患者足踝部的创伤面，改善患者运动功能，且手术方法相对简单，安全性更高。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of sural neurovascular flap and its influence on the motor function after tumor resection of foot and ankle. Methods: 83 patients with ankle tumor resection in our hospital from 2013 to 2019 were randomly divided into the research group(41 cases) and the control group(42 cases). Patients in the control group were treated by conservative methods of debridement and dressing change. Patients in the research group were treated by sural neurovascular flap. The total effective rate, disability rate, hospitalization cost, hospitalization time and changes of motor function before and after treatment were compared between the two groups. Results: After treatment, the total effective rate of research group was 90.24%, which was significantly higher than that of the control group(64.29%, P＜0.05). There was no significant difference in the hospitalization cost between the two groups(P＞0.05). The hospitalization time in the research group was significantly shorter than that in the control group(P＜0.05). The disability rate of research group was 2.44%, which was significantly lower than that of the control group (16.67%, P＜0.05). The scores of Fugl-Meyer assessment(FMA) and Berg Balance Scale (BBS) in the research group were significantly higher than those in the control group(P＜0.05). Conclusion: Sural neurovascular flap is more effective than the conservative methods of debridement and dressing change, which can more effectively repair the injured surface after extensive resection of foot and ankle tumor, improve the patients' motor function, and the operation method is relatively simpler and safer. |
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