附加桡侧指动脉为血管蒂的示指背侧皮瓣修复术在拇指皮肤缺损中的治疗效果评估  

Evaluation on the Curative Effect of Dorsal Index Finger Flap Pedicled with Radial Digital Proper Artery on Thumb Skin Defects

作　　者：赵东航 ZHAO Dong-hang(Department of Hand Surgery,Sanmenxia Central Hospital,Sanmenxia 472000,Henan Province,China)

机构地区：[1]河南省三门峡市中心医院手外科,河南三门峡472000

出　　处：《罕少疾病杂志》2022年第6期110-112,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨评估附加桡侧指动脉为血管蒂的示指背侧皮瓣修复术(DFFR)在拇指皮肤缺损中的治疗效果。方法选取2018年2月至2020年2月在本院确诊的82例拇指皮肤缺损患者,将入组患者根据随机数表法将其分为观察组(n=41)和对照组(n=41)。对照组患者采用传统的DFFR治疗,观察组采用附加桡侧指动脉为血管蒂的DFFR治疗,均持续治疗1个月。观察患者的临床手术指标(手术时间和术中出血量)。于术后,观察两组患者的拇指感觉功能和皮瓣恢复情况。结果观察组的TAM和两点辨别觉的水平均显著优于对照组(P<0.05);观察组皮瓣恢复的优良率为90.24%,显著高于对照组的73.17%(P<0.05);观察组的手术时间和术中出血量与对照组相比无显著差异(P>0.05)。结论附加桡侧指动脉为血管蒂的DFFR治疗拇指皮肤缺损的效果较好,可以提高拇指功能的恢复情况,提高皮瓣的存活率。Objective To discuss and evaluate the curative effect of dorsal index finger flap pedicled(DFFR)with radial digital proper artery on thumb skin defects.Methods A total of 82 patients confirmed with thumb skin defects in the hospital were enrolled between February 2018 and February 2020.The enrolled patients were divided into observation group(n=41)and control group(n=41)by random number table method.The control group was treated with traditional dorsal index finger flap repair,while observation group was treated with dorsal DFFR with radial digital proper artery.Both groups were continuously treated for 1 month.The operation time and intraoperative blood loss were observed.After surgery,thumb sensory function and flap recovery in both groups were observed.Results The levels of TAM and two-point discrimination in observation group were significantly better than those in control group(P<0.05),and good rate of flap recovery was significantly higher than that in control group(90.24%vs 73.17%)(P<0.05).There was no significant difference in operation time and intraoperative blood loss between the two groups(P>0.05).Conclusion The curative effect of dorsal DFFR with radial digital proper artery is good on thumb skin defects,which can improve the recovery of thumb function and survival rate of flaps.

关 键 词：附加桡侧指动脉 血管蒂 示指背侧皮瓣修复术 拇指 

分 类 号：R622[医药卫生—整形外科]