掌背动脉岛状皮瓣与游离尺动脉腕上穿支皮瓣修复手指软组织缺损的疗效对比分析  

Comparative Analysis of Dorsal Metacarpal Artery Island Flap and Free Ulnar Artery Supracarpal Perforator Flap in the Repair of Finger Soft Tissue Defects

作　　者：李有斌 丁治红 温永刚 LI Youbin;DING Zhihong;WEN Yonggang(Department of Hand and Foot Surgery,Hainan Sino German Orthopedic Hospital,Haikou 570102,Hainan,China)

机构地区：[1]海南中德骨科医院手足外科,海南海口570102

出　　处：《中国美容医学》2022年第6期67-70,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:比较掌背动脉岛状皮瓣与游离尺动脉腕上穿支皮瓣修复手指软组织缺损的疗效及安全性。方法:回顾性纳入2018年1月-2019年12月笔者医院收治的95例(95指)手指软组织缺损患者,按照治疗方案的不同分为A组(n=46)与B组(n=49),A组采用游离尺动脉腕上穿支皮瓣进行修复,B组采用掌背动脉岛状皮瓣进行修复。比较两组皮瓣存活及供区愈合情况、治疗效果、手功能情况及不良反应情况。结果:两组均获得随访,皮瓣均成活。A组40例供区一级愈合,6例供区再处理后愈合;B组47例供区一级愈合,2例供区再处理后愈合。B组治疗优良率明显高于A组[87.76%(43/49)vs 78.26%(36/46)],B组手功能效果优良率明显高于A组[89.80%(44/49)vs 73.91%(34/46)],差异均有统计学意义(P<0.05)。两组均没有发生明显不良反应。结论:掌背动脉岛状皮瓣对手指软组织缺损的修复效果优于游离尺动脉腕上穿支皮瓣。Objective To compare the efficacy and safety of dorsal metacarpal artery island flap and free ulnar artery supracarpal perforator flap in the repair of finger soft tissue defects.Methods 95 patients(95 fingers)with finger soft tissue defect who was retrospectively included in our hospital from January 2018 to December 2019.According to different treatment regimen,they were divided into the group A(n=46)and the group B(n=49).The patients were repaired with free ulnar artery supracarpal perforator flap in the group A,and the patients were repaired with orsal metacarpal artery island flap in the group B.The flap survival,donor healing,therapeutic effect,hand function and adverse reactions were compared between the two groups.Results The follow-up was obtained in both groups,and the flaps were survived.In the group A,40 cases healed at the first level,and 6 cases healed after reprocessing.In the group B,47 cases healed at the first level,and 2 cases healed after reprocessing.The excellent and good rate of the group B was significantly higher than that of the group A[87.76%(43/49)vs 78.26%(36/46)],the difference was statistically significant(P<0.05).The excellent and good rate of hand function in the group B was significantly higher than that in the group A[89.80%(44/49)vs 73.91%(34/46),P<0.05].There were no obvious adverse reactions in both groups.Conclusion The effect of dorsal metacarpal artery island flap in repairing finger soft tissue defect is better than that of free ulnar artery supracarpal perforator flap.

关 键 词：软组织缺损 手指 掌背动脉岛状皮瓣 游离尺动脉腕上穿支皮瓣 缺损修复 

分 类 号：R622[医药卫生—整形外科]