旋股外侧动脉穿支皮瓣修复术治疗手外伤软组织缺损的临床效果分析  

Clinical Effect Analysis of Lateral Femoral Circumflex Artery Perforator Flap Repair for Soft Tissue Defects Due to Hand Injuries

作　　者：唐红森 TANG Hongsen(Department of Microsurgery and Hand Surgery,Xinhua Branch,Nanyang Traditional Chinese Medicine Hospital,Nanyang Henan 473000,China)

机构地区：[1]南阳市中医院新华院区显微手外一科,河南南阳473000

出　　处：《临床研究》2025年第4期81-84,共4页Clinical Research

摘　　要：目的探究旋股外侧动脉穿支皮瓣修复对手外伤软组织缺损的疗效。方法将南阳市中医院新华院区2023年5月至2024年8月收治的62例手外伤软组织缺损患者纳入研究,随机分为对照组(胸腹带蒂皮瓣修复术)与研究组(旋股外侧动脉穿支皮瓣修复术),每组各31例。比较两组疗效、疼痛程度、手指活动度评分、感觉功能恢复情况及术后并发症。结果研究组总有效率高于对照组,差异有统计学意义(P<0.05)。术后1 d、3 d、7 d,研究组疼痛评分均低于对照组,差异有统计学意义(P<0.05)。治疗前,两组手指总活动度评分比较,差异无统计学意义(P>0.05);治疗1个月、2个月及3个月后,研究组手指总活动度评分均高于对照组,差异有统计学意义(P<0.05)。研究组感觉功能S0、S1、S2等级患者占比低于对照组,S3、S4等级患者占比高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论旋股外侧动脉穿支皮瓣修复术的疗效显著,还可缓解术后疼痛,促进手活动与感觉功能恢复,降低相关并发症发生风险。Objective To explore the efficacy of lateral femoral circumflex artery perforator flap repair in treating soft tissue defects caused by hand injuries.Methods A total of 62 patients with soft tissue defects due to hand injuries admitted to Nanyang Traditional Chinese Medicine Hospital,Xinhua Branch,from May 2023 to August 2024 were included in the study.They were randomly divided into a control group(n=31,chest-abdominal pedicled flap repair)and a study group(n=31,lateral femoral circumflex artery perforator flap repair).The efficacy,pain severity,finger range of motion scores,sensory function recovery,and postoperative complications were compared between the two groups.Results The total effective rate in the study group was higher than that in the control group,with a statistically significant difference(P<0.05).At 1 day,3 days,and 7 days postoperatively,the pain scores in the study group were lower than those in the control group,with statistically significant differences(P<0.05).Before treatment,there was no significant difference in total finger range of motion scores between the two groups(P>0.05);however,at 1 month,2 months,and 3 months post-treatment,the total finger range of motion scores in the study group were higher than those in the control group,with statistically significant differences(P<0.05).The proportions of patients with sensory function at S0,S1,and S2 levels in the study group were lower than those in the control group,while the proportions of patients at S3 and S4 levels were higher than those in the control group,with statistically significant differences(P<0.05).The incidence of complications in the study group was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion The efficacy of lateral femoral circumflex artery perforator flap repair is significant,as it alleviates postoperative pain,promotes recovery of hand movement and sensory function,and reduces the risk of related complications.

关 键 词：手外伤 软组织缺损 穿支皮瓣修复术 

分 类 号：R274.3[医药卫生—中医骨伤科学]