探讨2种自体皮瓣修复手外伤软组织缺损的临床效果  

Objective to Explore the Clinical Effect of Two Kinds of Autogenous Skin Flap in Repairing Hand Trauma Soft Tissue Defect

作　　者：朱柯楠 ZHU Ke-nan(Department of hand surgery,Jishuitan hospital,Shenyang,Liaoning 110000)

机构地区：[1]沈阳积水潭医院手外科,辽宁沈阳10000

出　　处：《中国伤残医学》2022年第8期20-23,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:对比胸腹带蒂皮瓣、股前外侧穿支皮瓣2种自体皮瓣修复手外伤软组织缺损的不同效果。方法:选择2018年1月-2020年12月80例手外伤软组织缺损患者为对象,按照双盲随机抽签法分为2组,带蒂皮瓣组40例接受胸腹带蒂皮瓣修复,穿支皮瓣组40例接受股前外侧穿支皮瓣修复,对比2组效果。结果:穿支皮瓣组术后7天IL-6、IL-8、TNF-α水平均低于带蒂皮瓣组(P<0.05);穿支皮瓣组术后抗菌药物使用、创面愈合及住院时间均短于带蒂皮瓣组(P<0.05);穿支皮瓣组术后并发症发生率为5.00%,低于带蒂皮瓣组发生率的22.50%(P<0.05)。结论:股前外侧穿支皮瓣较胸腹带蒂皮瓣修复手外伤软组织缺损创面对炎症反应控制效果更明显,愈合更迅速,安全性更高。Objective:To compare the effects of thoracoabdominal pedicled flap and anterolateral thigh perforator flap in the repair of hand soft tissue defects.Methods:from January 2018 to December 2020,80 cases of hand trauma patients with soft tissue defects were selected and randomly divided into two groups according to the double-blind method.40 cases in the pedicled skin flap group were treated with thoracoabdominal pedicled skin flap,and 40 cases in the perforator flap group were treated with anterolateral thigh perforator flap.Results:The levels of IL-6,IL-8 and TNF-αin the perforator flap group were lower than those in the pedicled flap group 7 days after operation(P<0.05);the use of antibiotics,wound healing and hospitalization time in the perforator flap group were shorter than those in the pedicled flap group(P<0.05);the incidence of postoperative complications in the perforator flap group was 5.00%,which was lower than 22.50%in the pedicled flap group(P<0.05).Conclusion:the anterolateral thigh perforator flap is more effective than thoracoabdominal pedicled flap in controlling inflammatory reaction,healing more quickly and safety.

关 键 词：胸腹带蒂皮瓣 股前外侧穿支皮瓣 修复 手外伤 软组织缺损 

分 类 号：R662[医药卫生—外科学]