邻指皮瓣与腹部皮瓣修复指腹皮肤软组织缺损的临床效果对比  

Comparison of the clinical effects of repairing soft tissue defects of finger pulp with cross finger flap and abdominal flap

作　　者：秦奎伟[1] OIN Kuiwei(Department of Orthopedics,Jiamusi Hospital of TCM in Heilongjiang Province,Jiamusi 154000,China)

机构地区：[1]黑龙江省佳木斯市中医院骨科,黑龙江佳木斯154000

出　　处：《中国现代医生》2018年第14期4-7,共4页China Modern Doctor

摘　　要：目的探讨修复指腹皮肤软组织缺损中使用邻指皮瓣和腹部皮瓣的效果和临床价值。方法选取本院2015年11月~2017年11月指腹皮肤软组织缺损患者80例,根据入院先后将其均分为两组,每组40例,1组为对照组,使用腹部皮瓣方法修复;2组为观察组,使用邻指皮瓣方法修复。比较两组患者手术时间、住院时间、关节活动度、不良反应情况和总有效率。结果治疗前,两组患者关节活动度无差异(P>0.05);治疗后,观察组手术时间、住院时间和关节活动度明显优于对照组(P<0.05)。观察组和对照组不良反应发生率依次为10.00%和22.50%,观察组明显低于对照组(P<0.05)。观察组和对照组总有效率依次为97.50%和85.00%,观察组总有效率明显高于对照组(P<0.05)。结论在修复指腹皮肤组织缺损时使用邻指皮瓣能进一步缩短手术时间和住院时间,对提高患者关节活动度有明显帮助,且该方法修复状况较好,整体治疗率较高,可在各大医院中推广使用。Objective To discuss the specific effects and clinical values of the application of cross finger flap and abdominal flap in the repair of soft tissue defects of finger pulp. Methods A total of 80 patients with soft tissue defects of finger pulp in our hospital from November 2015 to November 2017 were selected. According to the admission order,they were divided into two groups, with 40 cases in each group. Group one was the control group and was given abdominal flap for repair. Group two was the observation group and was given cross finger flap for repair. The operation time,length of hospital stay, joint mobility, adverse reactions and total effective rate were compared between the two groups.Results Before treatment, there was no difference in joint mobility between the two groups（P〈0.05）; after treatment, the operation time, length of stay, and joint mobility in the observation group were significantly better than those in the control group（P〈0.05）. The incidence rate of adverse reactions in the observation group and control group was 10.00%and 22.50% respectively. The observation group was significantly lower than the control group（P〈0.05）. The total effective rate in the observation group and the control group was 97.50% and 85.00% respectively. The total effective rate in the observation group was significantly higher than that in the control group（P〈0.05）. Conclusion The application of cross finger flap in the repair of soft tissue defects of finger pulp can further reduce the operation time and length of stay, which is significantly helpful to improve the joint mobility of the patients. This method has a good repair effect,and the overall treatment efficiency is high. It can be promoted and applied in major hospitals.

关 键 词：邻指皮瓣 指腹皮肤软组织 腹部皮瓣 

分 类 号：R658.2[医药卫生—外科学]