下腹部带蒂超薄皮瓣修复术联合负压封闭引流治疗手部热压伤  

Observation on the Curative Effect of Pedicled Ultra-thin Flap Repair of the Lower Abdomen Combined with Vacumm Sealing Drainage Technique in the Treatment of Hot Pressure Injury of Hand

作　　者：米增法 MI Zeng-fa(Department of Burns and Plastic Surgery,Army Hospital of the 73rd Group of the Chinese People's Liberation Army,Xiamen 361000,Fujian,China)

机构地区：[1]中国人民解放军陆军第七十三集团军医院烧伤整形外科,福建厦门361000

出　　处：《中国美容医学》2020年第9期74-77,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨下腹部带蒂超薄皮瓣修复术联合负压封闭引流在手部热压伤治疗中的应用效果,及促进皮瓣与创面愈合的作用原理。方法:选取2017年3月-2019年4月笔者医院烧伤科收治的手部热压伤患者104例,按数字表法随机将患者分为常规组和联合组,每组52例。常规组患者在坏死组织清创术、组织损伤探查后采用下腹部带蒂超薄皮瓣修复手部创面;联合组行下腹部带蒂超薄皮瓣修复创面及负压封闭引流创面修复手术。两组均随访观察结果。结果:联合组皮瓣成活率、手部功能恢复优良率明显高于常规组,联合组平均断蒂时间短于常规组,差异有统计学意义(P<0.05)。结论:下腹部带蒂超薄皮瓣修复术联合负压封闭引流技术在手部热压伤治疗中可提高皮瓣存活率,改善患者手部功能,进而提高患者生活质量,值得临床应用推广。Objective To investigate the application of the pedicled ultra-thin flap repair of the lower abdomen combined with the negative pressure closed drainage technique in the thermal compression of the hand to promote the healing principle of the flap and wound.Methods A total of 104 patients with hand bruises admitted to the department of burns in our hospital from March 2017 to April 2019 were randomly divided into the conventional group and the combined group according to the digital table method,with 52 patients in each group.After the debridement of necrotic tissue and the exploration of tissue damage in the conventional group,the lower abdomen pedicled ultra-thin flap was used to repair the hand wound.The combined group underwent repair of the lower abdominal pedicled ultra-thin flaps and negative pressure closed drainage wounds,and the treatment results were followed up.Results The flap survival rate and excellent and good rate of hand function recovery in the combined group were significantly higher than those in the conventional group,and the average pedicle cutting time in the combined group was shorter than that in the conventional group,the differences were statistically significant(P<0.05).Conclusion Lower abdominal pedicled ultra-thin flap repair combined with negative pressure closed drainage technology can improve the survival rate of flaps,improve the function of patients'hands,and improve the quality of life of patients during thermal compression treatment.Worth clinical application promotion.

关 键 词：热压伤 下腹部带蒂超薄皮瓣修复术 负压封闭引流 皮瓣移植 创面修复 

分 类 号：R622[医药卫生—整形外科]