手指软组织缺损患者逆行岛状皮瓣修复效果及外观满意度的影响因素分析  

Factors Influencing the Repair Effect and Appearance Satisfaction of Patients with Finger Soft Tissue Defect with Retrograde Island Flap

作　　者：裴金乐 杜治昆 刘念[1] 付勇力 韩魏魏 李都 程龙 PEI Jinle;DU Zhikun;LIU Nian;FU Yongli;HAN Weiwei;LI Du;CHENG Long(Orthopedic and Hand Surgery,Nanyang Central Hospital,Nanyang 473005,China;Emer gency Surgery,Nanyang Central Hospital,Nanyang 473005,China)

机构地区：[1]南阳市中心医院骨关节手外科,河南南阳473005 [2]南阳市中心医院急诊外科,河南南阳473005

出　　处：《河南医学研究》2024年第2期288-292,共5页Henan Medical Research

摘　　要：目的探讨手指软组织缺损患者逆行岛状皮瓣修复效果及外观满意度的影响因素。方法回顾性选取2020年1月至2022年7月医院收治的151例手指软组织缺损患者,均接受逆行岛状皮瓣修复。计算运动、感觉功能优良率及外观满意度,根据外观满意度分为观察组和对照组。比较两组临床资料,采用logistic回归分析外观满意度的影响因素。结果151例手指软组织缺损患者运动功能优良率为94.04%(142/151);感觉功能优良率为52.98%(80/151)。151例手指软组织缺损患者满意度为72.85%(110/151)。观察组吸烟、抑郁程度、受皮瓣区感染、糖尿病、数字疼痛评分比例高于对照组,血红蛋白水平低于对照组(P<0.05)。吸烟、糖尿病、血红蛋白、受皮瓣区感染、数字疼痛评分、抑郁程度是外观满意度的影响因素(P<0.05)。结论逆行岛状皮瓣修复能促进手指软组织缺损患者运动、感觉功能恢复,但仍有27.15%患者对外观恢复不满意,可能与吸烟、糖尿病、血红蛋白、受皮瓣区感染、数字疼痛评分、抑郁程度有关,建议对上述因素采取针对性干预,改善预后,提高外观满意度。Objective To investigate the effect of retrograde island flap on the repair of finger soft tissue defect and the influencing factors of appearance satisfaction.Methods A total of 151 cases of patients with finger soft tissue defects treated in Nanyang Hospital from January 2020 to July 2022 were retrospectively selected.Patients received reverse island flap repair.The excellent and good rate of motor and sensory function and appearance satisfaction were calculated.According to the appearance satisfaction,they were divided into observation group and control group.The clinical data of the two groups were compared,and the influencing factors of appearance satisfaction were analyzed by logistic regression.Results The excellent and good rate of motor function in 151 patients with finger soft tissue defects was 94.04%(142/151).The excellent rate of sensory function was 52.98%(80/151).The satisfaction rate of 151 patients with finger soft tissue defects was 72.85%(110/151).The scores of smoking,depression,skin flap infection,diabetes and digital pain in the observation group were higher than those in the control group,and the hemoglobin level was lower than that in the control group(P<0.05).Smoking,diabetes,hemoglobin,infection of skin flap area,digital pain score and depression were the influencing factors of appearance satisfaction(P<0.05).Conclusion The retrograde island flap can promote the recovery of motor and sensory function in the patients with finger soft tissue defect,but 27.15%of the patients were not satisfied with the recovery of appearance,which may be related to smoking,diabetes,hemoglobin,infection in the flap area,NRS pain score and depression degree.It is suggested to take targeted intervention for the above factors,improve the prognosis and improve appearance satisfaction.

关 键 词：手指软组织缺损 逆行岛状皮瓣修复 外观满意度 影响因素 

分 类 号：R622.1[医药卫生—整形外科]