复合组织瓣移植治疗手足严重创伤后皮肤缺损患者的临床效果  

Clinical Effect of Composite Tissue Flap Transplantation in the Treatment of Skin Defect of Hands and Feet after Severe Trauma

作　　者：张太良 Zhang Tailiang(Department of Orthopaedics,Xintai People's Hospital,Tai'an 271200,Shandong Province,China)

机构地区：[1]新泰市人民医院骨科,山东泰安271200

出　　处：《中外医药研究》2023年第22期51-53,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析复合组织瓣移植治疗手足严重创伤后皮肤缺损患者的临床效果。方法:选取2018年5月—2022年11月新泰市人民医院骨科收治的严重手足创伤后皮肤缺损患者90例为研究对象,根据随机数字表法分为研究组与常规组,各45例。常规组给予常规皮瓣修复,研究组给予复合组织瓣移植修复。比较两组患者皮肤缺损修复率、患肢功能恢复状况、住院费用、住院时间及并发症发生情况。结果:研究组一期修复率高于常规组,差异有统计学意义(P=0.002);研究组患肢功能恢复优良率高于常规组,差异有统计学意义(P=0.005);研究组住院时间短于常规组,住院费用低于常规组,差异有统计学意义(P<0.05);研究组术后并发症发生率低于常规组,差异有统计学意义(P=0.006)。结论:对手足严重创伤后皮肤缺损患者应用复合组织瓣进行修复效果较为确切,对患肢外观修复较为理想,有利于患者感觉功能和运动功能提升,可缩短住院时间,降低住院费用,安全性高。Objective:To analyze the clinical effect of composite tissue flap transplantation in the treatment of skin defect of hands and feet after severe trauma.Methods:A total of ninety patients with severe skin defect after hand and foot trauma admitted to the Department of Orthopedics of Xintai People's Hospital from May 2018 to November 2022 were selected as the study objects,and were divided into study group and conventional group according to random number table method,with forty-five cases in each group.The conventional group received conventional flap repair,and the study group received composite tissue flap transplantation repair.The rate of skin defect repair,functional recovery of affected limb,hospitalization cost,length of stay and complications were compared between the two groups.Results:The first phase repair rate of the study group was higher than that of the conventional group,and the difference was statistically significant(P=0.002);The rate of functional recovery of affected limb in the study group was higher than that in the conventional group,and the difference was statistically significant(P=0.005);The hospitalization time of the study group was shorter than that of the conventional group,and the hospitalization cost was lower than that of the conventional group,with statistical significance(P<0.05);The incidence of postoperative complications in the study group was lower than that in the conventional group,the difference was statistically significant(P=0.006).Conclusion:The application of composite tissue flap in the repair of skin defects of hands and feet after severe trauma is more accurate,and it is more ideal for the appearance repair of affected limbs,which is conducive to the improvement of sensory and motor functions of patients,and can shorten the length of hospitalization,reduce hospitalization costs,and have high safety.

关 键 词：皮肤缺损 修复 复合组织瓣 运动功能 感觉功能 

分 类 号：R47[医药卫生—护理学]