桡动脉掌浅支腕横纹游离皮瓣对手部创伤的修复治疗价值研究  

Value Study of Repairing and Treating of Wrist Transverse Free Flap of Radial Artery Superficial Palmar Branch on Hand Trauma

作　　者：关翰辉 彭龙 刘承伟 弓贺炜 袁虹豪 董书男 陈禺 黄华先 GUAN Hanhui;PENG Long;LIU Chengwei;GONG Hewei;YUAN Honghao;DONG Shunan;CHEN Yu;HUANG Huaxian(Guizhou orthopaedic hospital,Guiyang,Guizhou 550005)

机构地区：[1]贵州省骨科医院,贵州贵阳550005

出　　处：《中国伤残医学》2024年第10期1-5,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析在手部创伤患者治疗中采用桡动脉掌浅支腕横纹游离皮瓣的修复治疗价值.方法:选择2015年1月—2020年12月本院收治的46例手部必须进行皮瓣手术患者作为研究对象,根据随机数字表法分为对照组和观察组,各23例.对照组应用胸腹部穿支皮瓣进行修复治疗,观察组应用桡动脉掌浅支腕横纹游离皮瓣进行修复治疗,对比2组患者的术中失血量、手术时间、术后皮瓣成活优良率、手部再造功能恢复优良率及患者对治疗的满意度.结果:2组术中失血量相比,差异无统计学意义(P>0.05);观察组的手术时间短于对照组,差异有统计学意义(P<0.05).观察组术后皮瓣成活优良率为100.00%,高于对照组的86.96%,差异有统计学意义(P<0.05).观察组术后手部再造功能恢复优良率高于对照组,差异有统计学意义(P<0.05).观察组患者的治疗满意度高于对照组,组间差异有统计学意义(P<0.05).结论:采用桡动脉掌浅支腕横纹游离皮瓣修复治疗手部创伤患者,有助于缩短手术时间,提高术后皮瓣成活优良率和手部再造功能恢复优良率,提高患者对治疗的满意度.Objective:To analyze the value of wrist transverse free flap of radial artery superficial palmar branch in the treatment of hand trauma.Methods:46 patients in our hospital from January 2015 to December 2020 who had to undergo skin flap operation on their hands were selected as research objects,all patients were divided into a control group and an observation group according to random number table method,with 23 cases in each group.The control group was repaired with perforator flap of the chest and abdomen,and the observation group was repaired with wrist transverse free flap of superficial palm branch of the radial artery.The intraoperative blood loss,operation time,postoperative survival rate of the flap,recovery rate of hand reconstruction function and patients'satisfaction for the treatment were compared between the two groups.Results:There was no significant difference in intraoperative blood loss between the two groups(P>0.05).The operation time of the observation group was shorter than that of the control group,and the difference between the two groups was statistically significant(P<0.05).The survival rate of skin flap was 100.00%in the observation group,which was higher than 86.96%in the control group,and the difference was statistically significant(P<0.05).The merit rate of hand reconstruction functional recovery in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction of treatment in the observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion:The application of radial artery superficial palmar branch wrist transverse free flap in the treatment of hand trauma is helpful to shorten the operation time,improve the postoperative survival merit rate of skin flap and the merit rate of hand reconstruction function recovery,and improve patients'treatment satisfaction.

关 键 词：手部创伤 桡动脉掌浅支 腕横纹 游离皮瓣 修复 价值 

分 类 号：R641[医药卫生—外科学]