改良的外踝后穿支皮瓣修复跟骨骨折内固定术后皮肤缺损的临床观察-(5884)

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1、withz2test，themeandatausingttestforstatisticalanalysisusingstatisticalsoftwareSPSSl3．0whenP

2、lanaverageof100±5．0，comparedoperativetimewas78±125points，thedifferencebetweenthetwogroupswasinsignificantandobviousnotstatisticallysignificant(P>O．05)；2．Intraoperativebloodlosstheamountofbloodlosswascalculatedaccordingtotheamountrecordedbythesurgeon．Int

3、hetreatmentgroupbloodlosswas50—70ml，anaverageat62．3ml，bloodlossofthecontrolgroupwas55—75ml，anaverageat65．2ml，nosignificantdifferencebetweenthetwogroups，whichWasnotstatisticallysignificant(P>0．05)；3．TheincidenceofpostoperativevascularcrisisInthecontrolgr

4、oupoftencasestherewasonecasehadthesymptomsofremoteflapswellingandblistersformed，aftersymptomatictreatment，theflapsurvived，noflapnecrosisoccured；Inthetreatmentgroupofelevencasestherewereonecasesappearedsymptomsofaboutlemdarkswollenblistersatthedistalflap

5、，aftersymptomatictreatment，noflapnecrosisoccured，4．TreatmentSuccessrates：follow-uponeyearaftertheoperation．Inthecontrolgroupof10cases，thereWaSonerelapsedandcaughtinfectioninApril，inciseagain，removetheplatedebridement，woundclosureafterantibioticinfusiont

6、herapy,curedoneweeklater．Inthetreatmentgroup，11casesofskinflapsurvived埘t11goodtexture，norecurrenceofulcersandinfection，butnostatisticalsignificancebetweenthetwogroups．5．Therangeoftheimprovedlateralperforatorflapafterincisionreduced5．2士1．1—1．2cmthanconve

7、ntionalsuralnerveflap．greatlyreducedthedamagetothedonorsite；6．Theimprovedafterthelateralpedicleperforatorflapsignificantlybecameshorter，sufficientbloodsupply，didnotcarrythesuralna've，didnotaffectthesurvivalrateoftheflap，andwithandwithoutsuralnervesensor

8、yrecoveryoftheflaphasAbstractnosignificantdifference，butthedegreeofsensoryrecoveryonthedistallateralfoot，thetreatmentgroupisobviouslymuchbetterthanthecontrolgroup；Conclusion1．Comparedwithtraditionalsuralnerveflap，theimprovedlater