改良第一趾蹼皮瓣与改良邻指皮瓣在修复手指软组织缺损的临床效果比较  

Comparison of Modified First Toe Web Flap and Modified Proximal Phalanx Flap in Repairing Soft Tissue Defects of Fingers

作　　者：郭中帅 陈长青[1] 林东[1] 王升[1] 林栋 崔新华 赵泽[1] GUO Zhong-shuai;CHEN Chang-qing;LIN Dong;WANG Sheng;LIN Dong;CUI Xin-hua;ZHAO Ze(Department of orthopedics, Jiaozuo Second People's Hospital, Jiaozuo 454000, Henan)

机构地区：[1]焦作市第二人民医院,河南焦作454000

出　　处：《黔南民族医专学报》2019年第1期16-19,共4页Journal of Qiannan Medical College for Nationalities

摘　　要：目的:比较改良第一趾蹼皮瓣与改良邻指皮瓣在修复手指软组织缺损的临床效果。方法:回顾性分析2015年4月至2017年8月改良第一趾蹼皮瓣和改良邻指皮瓣在修复手指软组织缺损患者的临床资料。其中行改良第一趾蹼皮瓣修复者52例,纳入趾蹼组;行改良邻指皮瓣修复者50例,纳入邻指组。观察两组患者的住院时间、手术时间、两点辨识距离、皮瓣外观满意度、手指活动度。结果:趾蹼组手术时间(105.5±23.2)min较邻指组(46.4±12.8)min长,差异有统计学意义(P<0.05)。两组患者住院时间、末次随访皮瓣外观满意度、手指活动度差异无统计学意义(P>0.05)。末次随访趾蹼组两点辨识距离(4.3±0.6)mm较邻指组(5.2±0.7)mm短,差异有统计学意义(P<0.05)。结论:改良第一趾蹼皮瓣和改良邻指皮瓣均是修复手指软组织缺损的重要选择。如缺损为拇指、指腹缺损或创面较大,则应首选改良第一趾蹼皮瓣,而小面积指背缺损可选邻指皮瓣修复。Objective: To compare the clinical effect of modified first toe web flap and modified proximal phalanx flap in repairing soft tissue defects of fingers. Methods: The clinical data of patients with modified First Toe Web Flap and Modified adjacent finger skin flap in the repair of finger soft tissue defects were retrospectively analyzed from April 2015 to August 2017.Among them, 52 cases with modified first toe web flap were included in the toe web group, and 50 cases with improved adjacent finger skin flap were included in the adjacent finger group. The hospitalization time, operative time, two-point identification distance, skin appearance satisfaction and finger mobility were observed in the two groups. Results: The operative time of the toe web group was (105.5±23.2) min, which was longer than that of the adjacent fingers group (46.4±12.8) min, and the difference was statistically significant ( P < 0.05). There was no statistically significant difference between the two groups in hospitalization time and the skin flap appearance satisfaction and finger mobility of the last follow-up ( P > 0.05). The two-point identification distance (4.3±0.6) mm was shorter than that of the adjacent finger group (5.2±0.7) mm, and the difference was statistically significant ( P <0.05). Conclusion: The improved first toe suture flap and modified adjacent finger flap are important options for repairing soft tissue defects of the fingers. When the defect is a thumb defect, a finger pulp defect or a large wound, the first toe sac flap should be preferred, and the small area finger back defect can be repaired with an adjacent finger flap.

关 键 词：手指软组织缺损 改良第一趾蹼皮瓣 改良邻指皮瓣 

分 类 号：R622[医药卫生—整形外科]