指腹缺损患者应用指背皮神经营养血管皮瓣修复术的临床研究  

The clinical value study of the application of dorsal skin neurotrophic vascular flaps in patients with finger belly defect

作　　者：于恩停 陈星元 邬俊夫 YU En-ting;CHEN Xing-yuan;WU Jun-fu(Department of Bone Surgery,the Sixth People's Hospital of Longgang District,Shenzhen City,Shenzhen 518117,China)

机构地区：[1]深圳市龙岗区第六人民医院骨科,广东深圳518117

出　　处：《吉林医学》2022年第8期2201-2204,共4页Jilin Medical Journal

摘　　要：目的:探讨指腹缺损患者应用指背皮神经营养血管皮瓣修复术的临床价值。方法:选取指腹缺损患者118例作为研究对象,根据随机信封抽签原则把患者分为皮神经组与对照组各59例。皮神经组给予指背皮神经营养血管皮瓣修复治疗,对照组给予指动脉逆行岛状皮瓣修复治疗。结果:两组皮瓣成活率均为100.0%,两组手术时间与术中出血量比较,差异无统计学意义(P>0.05),皮神经组的术后住院时间少于对照组,皮神经组术后1个月与3个月的皮瓣功能评分都高于对照组,皮神经组术后1个月与3个月的两点辨别距离都少于对照组,皮神经组术后1个月与3个月的近侧及远侧指间关节活动度都高于对照组,差异均有统计学意义(均P<0.05)。结论:指腹缺损患者应用指背皮神经营养血管皮瓣修复并不影响皮瓣成活率,且能促进患者康复与改善皮瓣功能,也可促进指腹皮肤感觉与指间关节活动度的恢复。Objective To explore and study the clinical value of dorsal skin neurotrophic vascular flap repair in patients with finger belly defect.Method 118 cases of patients with finger tummy defects diagnosed and treated in our hospital were selected as the research objects.All the cases were divided into the cutaneous nerve group and control group with 59 cases each groups accorded to the principle of random envelope drawing.The cutaneous nerve group were given the dorsal cutaneous nerve nutrient vessel flap repair treatment,and the control group were given the digital artery retrograde island flap repair treatment.Results The survival rate of the flaps in the two groups were 100.0%.There were no significant difference compared between the operation time and intraoperative blood loss between the two groups(P>0.05).The postoperative hospital stay of the cutaneous nerve group were less than that of the control group(P<0.05).The skin flap function scores of the cutaneous nerve group at 1 month and 3 months after operation were higher than those of the control group(P<0.05).The two-point discrimination distance of the cutaneous nerve group were less than that of the control group at 1 month and 3 months after operation(P<0.05).The range of motion of the proximal and distal interphalangeal joints of the cutaneous nerve group were higher than that of the control group at 1 and 3 months after operation(P<0.05).Conclusion The application of the dorsal cutaneous neurotrophic vascular flap for the fingertip defect does not affect the survival rate of the flap,and it can promote the patient’s recovery and improve the function of the flap.It can also promote the recovery of the sensation of the fingertip and the motion of the interphalangeal joint.

关 键 词：指腹缺损 指背皮神经 营养血管皮瓣修复 皮瓣功能 皮肤感觉 指间关节活动度 

分 类 号：R658.2[医药卫生—外科学]