应用保留断指指腹全皮腹部皮瓣及筋膜瓣转移修复手指末节离断  

Clinical effect of distal segment finger amputation treated with persisting skin and abdominal nap and fasciocutaneous flap

作　　者：侯春[1] 王肃生[1] 梁刚[1] 张志华[1] 冀航[1] 

机构地区：[1]广州医科大学附属第一医院整形外科,广东广州510120

出　　处：《牡丹江医学院学报》2016年第6期31-33,共3页Journal of Mudanjiang Medical University

基　　金：广州市中医药和中西医结合科研课题(20162A011017)

摘　　要：目的探究手指末节离断应用保留断指指腹全皮腹部皮瓣及筋膜瓣转移修复的临床效果。方法选取2012年1月至2016年1月在我院接受治疗的30例30指末节完全离断(无血管吻合条件)的患者作为研究对象,将30例患者分成实验组和对照组,每组15例。对照组采用传统术式处理,实验则组采用保留断指指腹全皮腹部皮瓣及筋膜瓣转移修复术进行治疗。分别比较术后两组患者手指末节的指甲生长、指腹外观饱满度、骨折愈合以及患指功能恢复情况的差异。结果实验组患指术后指甲生长良好14例,指腹饱满12例,骨折愈合14例;而对照组分别为5例、4例和3例。实验组患指术后的指甲生长、指腹外观饱满度、骨折愈合情况明显好于对照组,数据比较差别有统计学意义。实验组患指术后感觉功能恢复良好14例,运动功能恢复良好13例;而对照组分别为7例和8例,实验组患指术后感觉、运动功能恢复情况均明显好于对照组,两组数据差异比较有统计学意义。结论相比于传统术式,应用保留断指指腹全皮腹部皮瓣及筋膜瓣转移修复术治疗手指末节离断具有更佳的恢复效果。Objective To investigate the clinical effect of distal segment finger amputation treated with persisting skin and abdominal nap and fasciocutaneous flap. Methods 30 patients with 30 fingers completely breaking from January 2012 to January 2016 were set as the object, they were divided into two groups, the experimental group and the control group, 15 fingers in each group. In con- trol group, patients were treated with routine method. By comparing the grow of nail, appearance of finger pulp, fracture healing and re- cover of function,we can draw a conclusion. Results In experimental group, 14 fingers were good in growth of nail, 12 fingers were good in appearance of finger pulp, and 14 were fracture healing;In control group, the number were 5,4 and 3, the grow of nail, appear- ance of finger pulp, fracture healing in experimental group were obviously better than that of control group, the differences were statisti- cally significant. In experimental group, 14 patients have great recovery on sensory function, 13 patients have great recovery on motor function;while in control group,7 in sensory function and 8 in motor function have great recovery, the recovery of sensory and motor function in experimental group were obviously better than that of control group, the differences were statistically significant. Conclusion Compared with routine method, distal segment finger amputation treated with persisting skin and abdominal nap and fasciocutaneous flap have a better recovei＇y,whlch is worthy of widespread application.

关 键 词：手指离断 皮瓣 筋膜瓣 再植 

分 类 号：R65[医药卫生—外科学]