不同皮瓣修复手外伤软组织缺损疗效比较  

Comparison of Different Skin Flap in Repairing Soft Tissue Defects of Hand Injury

作　　者：唐鑫成 罗旭超 邹永根 TANG Xin-cheng;LUO Xu-chao;ZOU Yong-gen(Department of Hand Surgery,Affi liated Hospital of Traditional Chinese Medicine,Southwest Medical University,Luzhou 646000,Sichuan,China)

机构地区：[1]西南医科大学附属中医医院手外科,四川泸州646000

出　　处：《中国美容医学》2021年第11期4-8,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察不同皮瓣修复术治疗手外伤软组织缺损的临床疗效。方法:回顾性分析2018年1月-2019年12月笔者医院收治的120例手外伤软组织缺损修复患者的临床资料,根据治疗方法不同分为观察组(n=65)和对照组(n=55),观察组给予游离腹股沟皮瓣修复术治疗,对照组给予胸腹带蒂皮瓣修复术治疗,比较两组愈合时间、抗菌药物使用时间、住院时间、临床疗效、缺损处周围血流速度(BFV)、血流灌注量相对值(BPR)及并发症发生情况。结果:观察组愈合时间、抗菌药物使用时间及住院时间短于对照组,差异有统计学意义(P<0.05)。观察组优良率高于对照组(93.85%vs69.09%),差异有统计学意义(P<0.05)。治疗后观察组缺损周围BFV、BPR水平高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组(6.15%vs 27.27%),差异有统计学意义(P<0.05)。结论:游离腹股沟皮瓣修复术治疗手外伤软组织缺损临床疗效显著,可缩短愈合时间、抗菌药物使用时间及住院时间,改善血流速度,且安全性较高。Objective To observe the clinical effects of different skin flaps in repairing soft tissue defects of hand injury.Methods Clinical data of 120 patients with soft tissue defects of hand injury who were admitted and treated in the hospital from January 2018 to December 2019 were retrospectively analyzed. The subjects were divided into the observation group(n=65) and the control group(n=55) according to the treatment method. The observation group was treated with free inguinal flap repair, and the control group was treated with chest-abdominal pedicled flap repair. Healing time, application time of antibacterial drugs, hospital stay, clinical effects, blood flow velocity(BFV) around the defect, blood perfusion relative value(BPR) and incidences of complications were compared between the two groups. Results The healing time, application time of antibacterial drugs and hospital stay of observation group were shorter than those of control group, the differences were statistically significant(P<0.05). The excellent and good rate of observation group was higher than that of control group(93.85%vs 69.09%, P<0.05). After treatment, BFV and BPR around the defect of observation group were higher than those of control group(P<0.05). The incidence of complications in observation group was lower than that in control group(6.15% vs 27.27%,P<0.05). Conclusion Free inguinal flap repair is effective in the treatment of hand traumatic soft tissue defects. It can shorten the healing time, the use of antibiotics and the length of hospital stay, improve the blood flow velocity, and has high safety.

关 键 词：手外伤 软组织缺损 皮瓣修复术 游离腹股沟皮瓣 临床疗效 

分 类 号：R622[医药卫生—整形外科]