指固有动脉穿支皮瓣+掌背动脉穿支皮瓣接力修复手指背侧热压伤创面的临床应用及研究  

Clinical application and study on perforator flaps of digital proper artery and dorsal metacarpal artery relay in repair of hot compression wound of finger dorsal side

作　　者：方明星 林志雄 陈建崇 黄家欣 FANG Mingxing;LIN Zhixiong;CHEN Jianchong;HUANG Jiaxin(Department of Burn and Plastic Surgery,Putian Ninety-Five Hospital,Putian 351100,Fujian,China)

机构地区：[1]莆田九十五医院烧伤整形外科,福建莆田351100

出　　处：《外科研究与新技术》2023年第1期14-17,共4页Surgical Research and New Technique

基　　金：2022年莆田市科技计划项目(2022SJ003)。

摘　　要：目的 探讨手指背侧热压伤创面患者采用指固有动脉穿支皮瓣+掌背动脉穿支皮瓣接力修复治疗的临床效果。方法 选取2019年01月—2022年6月期间收治的30例手指背侧热压伤创面患者进行回顾性分析,根据不同的治疗方法进行分组,采用腹部带蒂皮瓣移植修复术治疗的患者纳入对照组(n=15),采用指固有动脉穿支皮瓣+掌背动脉穿支皮瓣接力修复治疗的患者纳入观察组(n=15),治疗后进行6个月随访,对比两组的手术次数,住院时间,手功能优良率和并发症发生率。结果 观察组的手功能优良率较对照组高(P<0.05);观察组的并发症发生率较对照组低(P<0.05)。结论 手指背侧热压伤创面患者采用指固有动脉穿支皮瓣+掌背动脉穿支皮瓣接力修复治疗的效果较显著,能有效推动手功能的恢复,减少术后并发症的发生,临床可进一步推广。Objective To investigate the clinical effect of perforator flap of the digital proper artery and the perforator flap of the dorsal metacarsal artery relay on hot compression wound of finger dorsal side.Methods A retrospective analysis was performed on 30 patients with hot compression injuries on the dorsal side of fingers treated from January 2019 to June 2022.According to different treatment methods,patients treated with pedicled abdominal flap transplantation and repair were included in the control group(n=15),patients treated with perforator flaps of digital proper artery+dorsal metacarsal artery relay were included in the observation group(n=15),and both groups were followed up for 6 months after treatment.The number of operations,length of stay,excellent and good rate of hand function,and incidence of complications were compared between the two groups.Results The excellent and good rate of hand function in the observation group was higher than that in the control group(P<0.05).The complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion The application of perforator flap of the digital proper artery+perforator flap of the dorsal metacarsal artery relay in the repair of hot compression wound of fingers has a significant effect,which can effectively promote the recovery of hand function and reduce the occurrence of postoperative complications,and can be further popularized in clinic.

关 键 词：手指背侧热压伤 指固有动脉穿支皮瓣 掌背动脉穿支皮瓣 手功能 

分 类 号：R658.2[医药卫生—外科学]