游离趾腓侧瓣与指背岛状皮瓣在手指末节指腹缺损修复中的应用对比  

Comparison of the Application of Free Toes Lateral Flap and Dorsal Island Flap in the Repair of Fingertip Pulp Defects

作　　者：殷建伟[1] 常强省 YIN Jianwei;CHANG Qiangsheng(Department of Hand Surgery,Anyang People's Hospital,Anyang Henan 455000,China;Department of Orthopedics Five,Anyang People's Hospital,Anyang Henan 455000,China)

机构地区：[1]安阳市人民医院手外科,河南安阳455000 [2]安阳市人民医院骨五科,河南安阳455000

出　　处：《临床研究》2025年第1期21-24,共4页Clinical Research

摘　　要：目的对比游离趾腓侧瓣与指背岛状皮瓣在手指末节指腹缺损修复中的应用效果。方法选取2022年1月至2024年1月在安阳市人民医院进行游离趾腓侧瓣与指背岛状皮瓣在手指末节指腹缺损修复的80例患者作为研究对象,其中40例患者采用游离趾腓侧瓣进行修复的患者纳入观察组;另选取40例采用指背岛状皮瓣进行修复的患者纳入对照组。比较两组术后患指较健侧短缩水平、皮瓣两点辨别觉、手功能恢复优良率、皮瓣外观感觉评分、皮瓣成活率。结果观察组患者患指较健侧短缩水平小于对照组,差异有统计学意义(P<0.05)。观察组患者在术后1个月、2个月、3个月后皮瓣两点辨别觉大于对照组,差异有统计学意义(P<0.05)。观察组术后6个月的手功能恢复优良率为85.00%,对照组术后6个月的手功能恢复优良率为82.50%,对比差异无统计学意义(P>0.05)。观察组患者的皮瓣外观感觉评分高于对照组,差异有统计学意义(P<0.05)。观察组术后皮瓣成活率为90.00%,对照组术后皮瓣成活率为72.50%,观察组高于对照组,差异有统计学意义(P<0.05)。结论在手指末节指腹缺损修复中,采用游离趾腓侧瓣具有患指较健侧短缩水平小、皮瓣外观感觉好、皮瓣成活率高的优点,但采用背岛状皮瓣在皮瓣两点辨别觉优于游离趾腓侧瓣,两种方式均有良好的手功能恢复优良率。Objective To compare the effectiveness of free toes lateral flap and dorsal island flap in the repair of fingertip pulp defects.Methods A total of 80 patients who underwent repair using free toes lateral flap and dorsal island flap at Anyang People's Hospital from January 2022 to January 2024 were selected as research subjects.Among them,40 patients who underwent repair with free toes lateral flap were included in the observation group;another 40 patients who underwent repair with dorsal island flap were included in the control group.The postoperative shortening levels of the affected finger compared to the healthy side,two-point discrimination of the flap,Excellent rate of hand function recovery rates,flap appearance sensation scores,and flap survival rates were compared between the two groups.Results The shortening level of the affected finger in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).The two-point discrimination of the flap in the observation group was greater than that in the control group at 1 month,2 months,and 3 months postoperatively,with a statistically significant difference(P<0.05).The hand function recovery rate at 6 months postoperatively in the observation group was 85.00%,while in the control group it was 82.50%,with no statistically significant difference(P>0.05).The flap appearance sensation scores in the observation group were higher than those in the control group,with a statistically significant difference(P<0.05).The flap survival rate in the observation group was 90.00%,while in the control group it was 72.50%,with the observation group being significantly higher than the control group(P<0.05).Conclusion In the repair of fingertip pulp defects,the use of free toes lateral flap has advantages of lower shortening levels of the affected finger,better flap appearance sensation,and higher flap survival rate.However,the dorsal island flap shows better two-point discrimination than the free toes lateral flap.Both methods ha

关 键 词：游离趾腓侧瓣 指背岛状皮瓣 手指末节指腹缺损 修复 

分 类 号：R658.2[医药卫生—外科学]