两种不同手术方法修复拇指末端缺损的效果对照研究  

A comparative study on the effect of two different surgical methods for repairing the distal defect of thumb

作　　者：陈益[1] 李文东[1] 

机构地区：[1]宁波市第六医院手外科,浙江宁波315040

出　　处：《中国现代医生》2017年第26期14-19,共6页China Modern Doctor

基　　金：浙江省宁波市科技计划项目(2015C50029)

摘　　要：目的探讨手指掌侧推进皮瓣修复拇指末端软组织缺损与尺动脉腕上穿支皮瓣修复拇指末端软组织缺损两种手术方法的效果。方法选取2013年12月~2016年12月我院收治的拇指末端缺损患者106例作为临床研究对象。将行手指掌侧推进皮瓣修复拇指末端软组织缺损的病例作为对照组,共53例;将行尺动脉腕上穿支皮瓣修复拇指末端软组织缺损的病例作为实验组,共53例。观察两组患者的伸屈功能分级、感觉分级和皮瓣血运。结果实验组伸屈功能分级、感觉分级均高于对照组,差异有统计学意义(P<0.05)。两组动脉危象、静脉危象发生率比较差异无统计学意义(P>0.05)。结论尺动脉腕上穿支皮瓣修复拇指末端软组织缺损对于术后手指功能恢复和感觉恢复具有较好的效果。Objective To explore the effect between the two surgical methods of finger volar advancement flap and superior ulnar artery perforator flap in repairing the distal soft tissue defect of the thumb. Methods 106 patients with distal defect of the thumb who were admitted to our hospital from December 2013 to December 2016 were selected as the clinical subjects. A total of 53 cases of the patients receiving finger volar advancement flap in repairing the distal soft tissue defect of the thumb were selected as the control group; a total of 53 patients receiving superior ulnar artery perforator flap in repairing the distal soft tissue defect of the thumb were selected as the experimental group. The grade of extension and flexion function, sensory grade and flap blood flow were observed in both groups. Results The grade of extension and flexion and the sensory grade were higher in the experimental group than those in the control group, and the differences were statistically significant（P〈0.05）. There was no statistically significant difference in the incidence rates of arterial crisis and venous crisis between the two groups（ P〉0.05）. Conclusion Superior ulnar artery perforator flap in repairing the distal soft tissue defect of the thumb has a favorable effect on the recovery of postoperative finger function and sensory recovery.

关 键 词：手指掌侧推进皮瓣 尺动脉腕上穿支皮瓣 拇指缺损 术后恢复 

分 类 号：R658.2[医药卫生—外科学]