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首页> 外文期刊>Scandinavian journal of plastic and reconstructive surgery and hand surgery >Influence of diabetes on critical flaps based on the vascular axis of a sensory nerve.
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Influence of diabetes on critical flaps based on the vascular axis of a sensory nerve.

机译:糖尿病对基于感觉神经血管轴的关键皮瓣的影响。

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摘要

Delayed sural flap based on the vascular axis of the sural nerve has been advocated for coverage of diabetic foot ulcers. In this study we compared the survival of neurovenous and standard inferior epigastric island flaps in diabetic and non-diabetic rats. VEGF concentrations and electrolyte balance of the flaps were also investigated during elevation and on the fifth day to explore the possible mechanisms that influence ischaemia of the flap during the hyperglycaemic state. There were no statistical differences in area surviving between diabetic and control rats for either flap. The VEGF concentrations were also similar in the two flaps in the two groups during elevation. On the fifth day, VEGF concentrations had decreased significantly in all of the flaps. Electrolyte balance paralleled VEGF concentrations. We conclude that flaps based on the vascular axis of a superficial nerve deserve further experimental and clinical attention as potential options for reconstruction of ulcers on diabetic feet.
机译:已提倡基于腓肠神经血管轴的延迟腓肠瓣覆盖糖尿病足溃疡。在这项研究中,我们比较了糖尿病和非糖尿病大鼠中神经静脉和上腹下岛皮瓣的存活情况。皮瓣中的VEGF浓度和电解质平衡也在升高期间和第五天进行了研究,以探讨在高血糖状态期间影响皮瓣缺血的可能机制。任一皮瓣的糖尿病大鼠和对照组大鼠的存活面积均无统计学差异。在升高期间,两组的两个皮瓣中的VEGF浓度也相似。在第五天,所有皮瓣中的VEGF浓度均显着降低。电解质平衡与VEGF浓度平行。我们得出结论,基于浅表神经血管轴的皮瓣作为糖尿病足溃疡重建的潜在选择值得进一步的实验和临床关注。

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