局解手术学杂志2024，Vol.33Issue(6)：528-531,4.DOI:10.11659/jjssx.07E023005
旋髂浅动脉浅支穿支皮瓣移植术中不同吻合法的临床分析
Clinical analysis of different anastomotic methods in superficial branch perforator flap transplantation of superficial circumflex iliac artery
摘要
Abstract
Objective To analyze the effects of different anastomotic methods on flap survival rate and wound healing factors of patients with transplantation of superficial branch perforator flap of superficial circumflex iliac artery(SCIA).Methods A total of 100 patients with skin defects of limbs admitted to our hospital from January 2019 to August 2022 were selected and divided into end-to-end anastomosis group(56 cases)and end-to-side anastomosis group(44 cases)according to different anastomosis methods.In the end-to-end anastomosis group,the end of the flap artery was anastomosed with the end of the aortic branch in the affected area.In the end-to-side anastomosis group,the end of recipient flap artery was anastomosed with the side of aorta.Patients in both groups were followed up for 6 to 12 months,the arterial caliber,lateral caliber and anastomosis time were compared between the two groups.The survival of the flap,the occurrence of venous crisis,the shape and function of the flap and donor area were observed.Results There was no statistically significant difference in the arterial caliber or lateral caliber of patients between the two groups(P>0.05).The anastomosis time of patients in the end-to-end anastomosis group was significantly shorter than that in the end-to-side anastomosis group(P<0.05).All 56 cases in the end-to-end anastomosis group survived.In the end-to-side anastomosis group,venous crisis occurred in 4 cases,with venous thrombosis,2 cases survived after re-anastomosis,2 cases were changed to abdominal pedicled flap when venous crisis occurred again,the appearance and function of the flap and donor area were satisfactory 6 months to 1 year after surgery(P<0.05).There was no significant difference in color,thickness,vascular distribution or flexibility of donor area of patients between the two groups(P>0.05).There was no significant difference in pain,appearance,vitality and recreation of recipient area of patients between the two groups(P>0.05).Conclusion The application of different arterial anastomosis methods in the transplantation of superficial branch perforator flap of SCIA for the treatment of skin and soft tissue defects of limbs is safe and reliable,the postoperative survival of the flap is good,the healing is not affected by the anastomosis method,and the appearance of the affected area is satisfactory,which is worthy of clinical promotion.关键词
旋髂浅动脉/穿支皮瓣/移植/吻合/成活率/创面愈合因子Key words
superficial circumflex iliac artery/perforator flap/transplantation/anastomosis/survival rate/wound healing factors分类
医药卫生引用本文复制引用
杜志国,张辉东,郭乐乐,耿景超,丁明斌,黄文强,张远林..旋髂浅动脉浅支穿支皮瓣移植术中不同吻合法的临床分析[J].局解手术学杂志,2024,33(6):528-531,4.基金项目
河北省2018年度医学科学研究重点课题计划(2018245) （2018245）
