鱼际皮瓣修复术治疗手指末节皮肤缺损指骨外露创伤患者的临床效果  

Clinical effect of thenar skin flap repair in the treatment of patients with skin defects of the end of the finger and finger bones exposure trauma

作　　者：李杨 王俊 LI Yang;WANG Jun(Shangluo International Medical Center Hospital,Shangluo 726000,China)

机构地区：[1]商洛国际医学中心医院,陕西商洛726000

出　　处：《临床医学研究与实践》2022年第21期86-89,共4页Clinical Research and Practice

摘　　要：目的探讨鱼际皮瓣修复术治疗手指末节皮肤缺损指骨外露创伤患者的临床效果。方法以我院2018年3月至2021年3月收治的50例手指末节皮肤缺损指骨外露创伤患者为研究对象,根据治疗方法不同将其分为对照组(指动脉逆行岛状皮瓣修复术)和试验组(鱼际皮瓣修复术),各25例。比较两组的临床治疗效果、伤指关节活动度、皮瓣外形评分、两点辨别觉、手指感觉功能恢复情况。结果试验组的治疗总有效率为96.00%,高于对照组的76.00%,差异具有统计学意义(P<0.05)。术后3、6个月,两组的伤指关节[远侧指间关节(DIP)、掌指关节(MP)、近侧指间关节(PIP)]活动度均明显提高,且试验组高于对照组,差异具有统计学意义(P<0.05)。术后3、6个月,试验组的皮瓣外形评分高于对照组,两点辨别觉小于对照组,差异具有统计学意义(P<0.05)。术后随访6个月,试验组的手指感觉功能恢复情况显著优于对照组,差异具有统计学意义(P<0.05)。结论鱼际皮瓣修复术治疗手指末节皮肤缺损指骨外露创伤患者的效果显著,能有效提高患者的伤指关节活动度,改善伤指外观,加快患指感觉功能恢复,值得推广。Objective To investigate the clinical effect of thenar skin flap repair in the treatment of patients with skin defects of the end of the finger and finger bones exposure trauma.Methods Taking 50 patients with skin defects of the end of the finger and finger bones exposure trauma treated in our hospital from March 2018 to March 2021 as the research objects,the patients were divided into control group(retrograde finger artery island flap repair)and experimental group(thenar skin flap repair)according to different treatment methods,with 25 cases in each group.The clinical treatment effect,the range of motion of the injured finger joint,the skin flap shape score,two-point discrimination and the recovery of finger sensory function were compared between the two groups.Results The total effective rate of treatment of the experimental group was 96.00%,which was higher than 76.00%of the control group,the difference was statistically significant(P<0.05).At 3 and 6 months after operation,the range of motion of the injured finger joints[distal interphalangeal point(DIP),metacarpophalangeal point(MP),proximal interphalangeal point(PIP)]in the two groups significantly improved,and those in the experimental group were higher than the control group,the differences were statistically significant(P<0.05).At 3 and 6 months after operation,the skin flap shape score of the experimental group was higher than that of the control group,and the two-point discrimination was less than that of the control group,the differences were statistically significant(P<0.05).After 6 months of follow-up,the recovery of finger sensory function in the experimental group was significantly better than that in the control group,the difference was statistically significant(P<0.05).Conclusion Thenar skin flap repair in the treatment of patients with skin defects of the end of the finger and finger bones exposure trauma has a remarkable curative effect.It can effectively improve the patients'the range of motion of the injured finger joint,improve the appearan

关 键 词：鱼际皮瓣修复术 皮肤缺损 指骨外露 

分 类 号：R658.2[医药卫生—外科学]