腕横纹桡动脉掌浅支游离皮瓣移植修复手指软组织缺损的疗效观察  

Observation on the curative effect of free flap transplantation of superficial palmar branch of radial artery of the wrist transverse striation in repairing finger soft tissue defect

作　　者：林诗强 徐尉宁 甘玉珍 官家永 LIN Shi-qiang;XU Wei-ning;GAN Yu-zhen(Pengjiang District Integrated Traditional Chinese and Western Medicine Hospital,Jiangmen 529000,China)

机构地区：[1]江门市蓬江区中西医结合医院,529000

出　　处：《中国现代药物应用》2024年第2期35-39,共5页Chinese Journal of Modern Drug Application

摘　　要：目的 探究腕横纹桡动脉掌浅支游离皮瓣移植修复手指软组织缺损的疗效。方法 34例手指软组织缺损患者,以1:1分为观察组和对照组,每组17例。对照组采用局部带蒂转移皮瓣修复治疗,观察组采用腕横纹桡动脉掌浅支游离皮瓣移植治疗。对比两组术后并发症发生情况、手术操作时间、创面愈合时间、术中出血量、皮瓣成活率、手指皮瓣外形恢复美观优良率、血运状态恢复优良率、浅感觉恢复优良率、满意度评分、心理健康评分。结果 观察组术后并发症发生率低于对照组,但对比无差异(P>0.05)。观察组手术操作时间(104.65±10.28)min长于对照组的(92.21±10.18)min,创面愈合时间(19.35±2.22)d短于对照组的(24.18±2.81)d(P<0.05)。两组术中出血量对比无差异(P>0.05)。观察组皮瓣成活率100.00%高于对照组的64.71%(P<0.05)。观察组手指皮瓣外形恢复美观优良率94.12%高于对照组的58.82%(P<0.05)。观察组血运状态恢复优良率94.12%高于对照组的58.82%(P<0.05)。观察组浅感觉恢复优良率94.12%高于对照组的58.82%(P<0.05)。观察组满意度评分(95.32±2.26)分、心理健康评分(23.32±5.26)分均优于对照组的(82.33±2.18)、(49.66±5.20)分(P<0.05)。结论 腕横纹桡动脉掌浅支游离皮瓣移植修复手指软组织缺损的疗效显著,能够取得满意疗效,患者恢复快,且预后显著,建议临床推广。Objective To investigate the curative effect of free flap transplantation of superficial palmar branch of radial artery of the wrist transverse striation in repairing finger soft tissue defect.Methods 34 patients with finger soft tissue defects were divided into an observation group and a control group with 1‥1 ratio,with 17 cases in each group.The control group was treated with local pedicled transfer flap repair,and the observation group was treated with free flap transplantation of superficial palmar branch of radial artery of the wrist transverse striation.Both groups were compared in terms of postoperative complications,operation time,wound healing time,intraoperative blood loss,flap survival rate,excellent and good rate of appearance recovery of finger flap,excellent and good rate of blood supply recovery,and excellent and good rate of superficial sensation recovery,satisfaction score,and mental health score.Results The incidence of postoperative complications in the observation group was lower than that in the control group,but there was no difference(P>0.05).The operation time of(104.65±10.28)min in the observation group was longer than(92.21±10.18)min in the control group,and the wound healing time of(19.35±2.22)d was shorter than(24.18±2.81)d in the control group(P<0.05).There was no difference in intraoperative blood loss between the two groups(P>0.05).The flap survival rate of 100.00%in the observation group was higher than 64.71%in the control group(P<0.05).The excellent and good rate of appearance recovery of finger flap in the observation group(94.12%)was higher than the control group(58.82%)(P<0.05).The excellent and good rate of blood supply recovery in the observation group(94.12%)was better than the control group(58.82%)(P<0.05).The excellent and good rate of superficial sensation recovery in the observation group(94.12%)was higher than the control group(58.82%)(P<0.05).The satisfaction score of(95.32±2.26)points and mental health score of(23.32±5.26)points in the observation group were

关 键 词：腕横纹桡动脉掌浅支游离皮瓣移植 手指软组织缺损 并发症 局部带蒂转移皮瓣修复术 

分 类 号：R658.2[医药卫生—外科学]