局部推进皮瓣修复治疗对拇指指端缺损的效果及对患者心理状态的影响  

Effect of local propulsion flap repair on thumb finger defect and its effect on the psychological state of patients

作　　者：赵一霖 靳美玲 马丹丹 ZHAO Yi-lin;JIN Mei-ling;MA Dan-dan(Department of Emergency Surgery,Zhengzhou Third People's Hospital,Henan Province,450000,China)

机构地区：[1]郑州市第三人民医院急诊外科,河南郑州450000

出　　处：《中国医疗美容》2023年第12期33-36,共4页China Medical Cosmetology

摘　　要：目的探究对拇指指端缺损患者实施改良局部推进皮瓣修复治疗的作用。方法研究对象:2020年1月至2023年1月诊治的75例拇指指端缺损患者,按治疗方式分为两组,对照组37例,观察组38例患者,对照组:大鱼际处筋膜瓣转移术,观察组:改良局部推进皮瓣修复治疗,比较两组整体效果。结果(1)观察组手术时间、术中出血量低于对照组(P<0.05);(2)观察组优良率为97.37%(37/38),高于对照组的78.38%(29/37)(χ^(2)=4.730,P=0.030);(3)观察组皮瓣质地柔软程度、外观美观性、皮肤弹性状况、伤指灵活程度评分高于对照组(P<0.05);(4)治疗后,观察组SAS评分、SDS评分低于对照组(P<0.05);观察组生活质量评分较高(P<0.05)。结论改良局部推进皮瓣修复治疗可增强拇指指端缺损患者的修复效果,让患者不良情绪缓解、生存质量提高,效果显著。Objective To explore the effect of modified local propulsion flap repair in patients with thumb finger defect.Methods Seventy-five patients with thumb finger defect diagnosed and treated from 2020-01 to 2023-01 were divided into two groups according to treatment methods,37 patients in the control group and 38 patients in the observation group.Results(1)The operation time and intraoperative blood loss in the observation group were lower than those in the control group(P<0.05);(2)the excellent rate in the observation group was 97.37%(37/38),which was higher than that in the control group 78.38%(29/37)(χ^(2)=4.730,P=0.030).(3)The scores of skin flap softness,aesthetics,skin elasticity and finger flexibility in the observation group were higher than those in the control group(P<0.05);(4)After treatment,the SAS score and SDS score in the observation group were lower than those in the control group(P<0.05),and the quality of life score in the observation group was higher(P<0.05).Conclusion Modified local propulsion flap repair treatment can enhance the repair effect of patients with thumb finger defects,alleviate bad mood and improve the quality of life,and the effect is significant.

关 键 词：改良局部推进皮瓣修复治疗 拇指指端缺损 外观美观性 皮肤弹性状况 

分 类 号：R658.2[医药卫生—外科学]