显微外科手术和皮瓣游离再回植治疗手部皮肤逆行撕脱伤的效果对比  

Effect comparison of microsurgical operation and flaps free replantation in the treatment of retrograde avulsion of hand skin

作　　者：袁勇 YUAN Yong(The Third Department of Surgery,Dongfeng People′s Hospital of Zhongshan City,Guangdong Province,Zhongshan 528425,China)

机构地区：[1]广东省中山市东凤人民医院外三科,广东中山528425

出　　处：《中国当代医药》2020年第8期45-47,共3页China Modern Medicine

摘　　要：目的 探讨显微外科手术和皮瓣游离再回植治疗手部皮肤逆行撕脱伤的临床效果.方法 选取2015年10月~2017年10月我院收治的80例手部皮肤逆行撕脱伤患者作为研究对象,按照随机数字表法将其分为对照组(n=39)与观察组(n=41).对照组患者接受皮瓣游离再回植治疗,观察组患者接受显微外科手术治疗.比较两组患者的手部皮肤存活情况、手部功能及不良反应总发生率.结果 观察组患者的手部皮肤存活总有效率为85.4%,高于对照组的64.1%,差异有统计学意义(P<0.05).观察组患者的手部功能评分优良率为90.2%,高于对照组的66.7%,差异有统计学意义(P<0.05).两组患者的不良反应总发生率比较,差异无统计学意义(P>0.05).结论 显微外科手术治疗手部皮肤撕脱伤,有较好的临床效果,手部皮肤存活率高,手部功能良好,且无明显不良反应,安全可靠,值得临床推广运用.Objective To explore the clinical effect of microsurgical operation and flaps free replantation in the treatment of retrograde avulsion of hand skin.Methods A total of 80 cases with retrograde avulsion of hand skin in our hospital from October 2015 to October 2017 were selected as subjects.According to the random number table method,they were divided into the control group(n=39)and the observation group(n=41).The control group received flaps free replantation treatment,patients in the observation group received microsurgical operation.The survival of hand skin,hand function and the total incidence of adverse reactions were compared between the two groups.Results The total effective rate of hand skin survival in the observation group was 85.4%,which was higher than that in the control group(64.1%),the difference was statistically significant(P<0.05).The excellent rate of hand function score of the observation group was 90.2%,which was higher than that of the control group with 66.7%,the difference was statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups,which was comparable(P>0.05).Conclusion Microsurgical treatment of avulsion injury of hand skin has good clinical effect.The skin survival rate of hand is high,hand function is good,and there is no obvious adverse reaction.It is safe and reliable,and is worthy of clinical application.

关 键 词：显微外科手术 皮瓣游离再回植 撕脱伤 对比研究 

分 类 号：R658.2[医药卫生—外科学]