尺动脉伴行静脉与掌侧皮肤浅静脉吻合治疗手掌逆行皮肤撕脱伤的临床观察  

Probe into the Ulnar Artery-Accompanying Vein and Volar Skin Superficial Vein Anastomosis Treatment of Retrograde Skin Avulsion

作　　者：王岩 梁小虎 WANG Yan;LIANG Xiao-hu(Department of Orthopedics,Nongken Central Hospital,Zhanjiang 524002,Guangdong Province,China)

机构地区：[1]广东省农垦中心医院骨科,广东湛江524002

出　　处：《罕少疾病杂志》2022年第3期94-96,共3页Journal of Rare and Uncommon Diseases

基　　金：湛江市科技计划项目(2019B01280)。

摘　　要：目的分析尺动脉的伴行静脉和掌侧皮肤的浅静脉相吻合对手掌逆行性皮肤撕脱伤的疗效。方法前瞻性选取2019年7月至2021年7月期间本院收治的手掌逆行皮肤撕脱共40例患者为研究对象,均行尺动脉的伴行静脉和掌侧皮肤的浅静脉吻合治疗,统计最终皮肤存活比例、并发症出现与术后的手部外观及皮肤功能情况。结果所有患者均完成6~24个月随访,术后40例撕脱皮肤均成活,仅1例出现2.5cm×6cm大小的皮肤坏死,开展扩创植皮处理后完全愈合。术后12个月,患者在手外观评分方面较术后6个月升高,截肢(指)平面失能、运动障碍、感觉障碍百分比及总失能百分比较术后6个月降低(P<0.05);术后24个月,患者手外观评分较术后12个月升高,运动障碍、感觉障碍百分比及总失能百分比较术后12个月降低(P<0.05)。结论手掌逆行性皮肤撕脱伤经吻合尺动脉的伴行静脉和掌侧皮肤的浅静脉可收获良好疗效,术后皮肤存活率较高,并发症较少,能改善患者的手部外观,促进其皮肤功能恢复。Objective To probe into the ulnar artery-accompanying vein and volar skin superficial vein anastomosis treatment of retrograde skin avulsion.Methods 40 retrograde skin avulsion patients treated from July 2019 to July 2021 in our hospital were included in the perspective study.The ulnar artery-accompanying vein and volar skin superficial vein anastomosis treatment was performed.The proportions of survived skin,complications,postoperative hand appearance and skin function were counted.Results All of patients were followed for 6-24 months;after surgery,the teared skin for 40 cases was survived,only one case had skin necrosis with size of 2.5 cm×6 cm;The patient had been completely cured after skin-grafting.The hand appearance scores after 12 months of surgery were significantly higher than those after 6 months of surgery;The proportions of patients with dyskinesia,sensory disturbance and disability were significantly lower than those after 6 months of surgery(P<0.05);the hand appearance scores after 24 months of surgery were higher than those after 12 months of surgery;The proportions of patients with dyskinesia,sensory disturbance and disability were significantly lower than those after 12 months of surgery(P<0.05).Conclusion The ulnar artery-accompanying vein and volar skin superficial vein anastomosis treatment increases the skin survival rates,reduces the complications,improves the hand appearance and promotes the skin function recovery.

关 键 词：皮肤撕脱伤 掌侧皮肤浅静脉 尺动脉伴行静脉 吻合治疗 手部外观 皮肤功能 

分 类 号：R329[医药卫生—人体解剖和组织胚胎学] R658[医药卫生—基础医学]