带蒂皮瓣移植修复手部软组织缺损的临床效果  

Clinical effect of pedicled flap transplantation in repairing soft tissue defect of hand

作　　者：潘艳丽 夏小飞 李鑫 尹文涛 曹佳音 PAN Yanli;XIA Xiaofei;LI Xin;YIN Wentao;CAO Jiayin(Hand-foot Microsurgery Department,Xinyi People's Hospital,Xinyi 221400,Jiangsu Province,China)

机构地区：[1]新沂市人民医院手足显微外科,江苏新沂221400

出　　处：《中国医疗美容》2025年第2期47-50,共4页China Medical Cosmetology

摘　　要：目的分析带蒂皮瓣移植术用于修复手部软组织缺损的临床效果。方法选取2020年1月至2024年12月于新沂市人民医院治疗的46例手部软组织缺损患者,均采取带蒂皮瓣移植术治疗。比较患者手术前后的血流动力学指标,观察皮瓣成活与术后并发症发生情况。结果46例患者中,采取邻指皮瓣25例,腹部皮瓣21例;手术时间为(3.77±1.58)h,术中出血量为(785.45±125.34)mL。患者术后3 d的血流速度、血流灌注量相对值高于术前,差异有统计学意义(P<0.05)。46例手部软组织缺损患者进行带蒂皮瓣移植术治疗后,皮瓣成活率100.00%(46/46);并发症总发生率13.04%(6/46)。结论采取带蒂皮瓣移植术进行手部软组织损伤修复的效果确切,术后手部血流动力学恢复快,皮瓣成活率高。Objective To investigate the clinical effect of pedicled flap transplantation in repairing soft tissue defect of hand.Methods Forty-six patients with soft tissue defect of hand treated in our hospital from January 2020 to December 2024 were selected,and all patients were treated with pedicled flflap transplantation.The hemodynamic indexes of patients before and after operation were flmeasured and compared,and the survival of skin flap and postoperative complications were observed.Results Among the 46 patients,fiflfl25 cases underwent adjacent finger skin flap transplantation and 21 cases underwent abdominal skin flap transplantation;The operation time was(3.77±1.58)hours,and the intraoperative blood loss was(785.45±125.34)mL.The hemodynamic indicators(relative values of flfiblood flow velocity and perfusion volume)of the patient 3 days after surgery were significantly higher than those before surgery,and the fidifference was statistically significant(P fl<0.05).The survival rate of the pedicled skin flap was 100.00%(46/46)during the perioperative period of 46 patients with soft tissue defect.The total incidence of complications was 13.04%,among which the incidence of infection was 2.17%(1/46),swelling was 8.70%(4/46),and joint stiffness was 2.17%(1/46).There was no delayed wound healing,and the patients improved and recovered after clinical symptomatic treatment.Conclusions flPedicled skin flap transplantation is effective in repairing soft tissue injury of the hand,which is helpful to postoperative hemodynamic recovery of the hand and increase the survival flrate of the skin flap.

关 键 词：手部软组织缺损 带蒂皮瓣移植术 邻指皮瓣 

分 类 号：R658.2[医药卫生—外科学]