A study on the effect of great saphenous vein interruption on distally saphenous neurocutaneous pedicled skin flap
10.3760/cma.j.issn.1673-4904.2016.01.017
- VernacularTitle:阻断大隐静脉对小腿远端蒂隐神经营养皮瓣影响的研究
- Author:
Peng JI
;
Chunlu YANG
;
Weixiong HUANG
;
Xinlong ZOU
- Publication Type:Journal Article
- Keywords:
Saphenous nerve;
Great saphenous vein;
Distally pedicled skin flap;
Interruption
- From:
Chinese Journal of Postgraduates of Medicine
2016;(1):54-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of great saphenous vein interruption on distally saphenous neurocutaneous pedicled skin flap. Methods Fifty-two patients with skin and soft tissue lost on ankle received neoplasty using distally crural saphenous neurocutaneous pedicled skin flap. The patients were divided into two groups: the patients in interruption group (25 patients) were treated with great saphenous vein interruption on distally saphenous neurocutaneous pedicled skin flap, the patients in conventional group (27 cases) were treated without saphenous vein interruption. Results Primary healing: 15 patients (55.56%, 15/27) in conventional group, 21 patients (84.00%,21/25) in interruption group. With effusion: 17 patients (62.96%,17/27) in conventional group, 7 patients(28.00%,7/25) in interruption group. With venous crisis: 10 patients (37.04%,10/27) in conventional group, 2 patients (8.00%,2/25) in interruption group. There was statistical significance between two groups on the above 3 indexes (P <0.05). With infection: 7 patients (25.93%,7/27) in conventional group; 4 patients(16.00%,4/25) in interruption group. There was no statistical significance between two groups (P>0.05). Conclusions Great saphenous vein interruption could relieve swelling, reduce effusion and have higher primary healing rate in neoplasty using distally crural saphenous neurocutaneous pedicled skin flap compared with the conventional method, which greatly reduce the pain and medical expenses of the patients.
