摘要
目的探讨手指背侧皮肤缺损修复方法和效果。方法将在我院住院治疗的90例手指背侧皮肤缺损患者随机分为A组(45例)和B组(45例),A组患者采用尺动脉腕上穿支微型游离皮瓣修复,而B组患者则采用手背逆行岛状皮瓣修复,2组患者其他治疗措施相同,比较A组和B组患者手术时间、术中出血量、术后感染率和伤口Ⅰ期愈合率。进行为期2年的随访,观察2组患者手部外形和功能恢复情况。结果 B组患者手术时间、术中出血量和术后感染率均明显少于A组患者的,差异有统计学意义(P<0.05),B组患者伤口Ⅰ期愈合率、手部外形完好率和功能恢复完全率均明显高于A组患者的,差异有统计学意义(P<0.05)。结论手背逆行岛状皮瓣修复手指背侧皮肤缺损近期疗效和远期疗效均较有,值得进一步推广。
Objective To investigate the differences in repair and clinical efficacy of patients with finger dorsal skin defect by the ret- rograde island flap and scale artery wrist wear a miniature free skin flap. Methods The clinical data of 90 patients with finger dorsal skin defect who were treated in our hospital were collected; other treatment measures of two groups were the same, then patients were divided into group A and group B by using a random number table; patients in groulS A were given scale artery wrist wear a miniature free skin flap, but those in group B were given the retrograde island flap; the operation time, intra-operative blood loss, postoperative infection rate and the wound primary healing rate were evaluated; the patients were followed up for two years, and the hand shape intact rate and the complete recovery rate of hand function were evaluated. Results The operation time, intra-operative blood loss, and postoperative infection rate were lower in group B than those in group A （P 〈0.05）; the wound primary healing rate, hand shape intact rate and the complete recovery rate of hand func- tion were higher in group B than those in group A（P 〈0.05 ）. Conclusion The use of retrograde island flap in repairing finger dorsal skin de- fect can obtain satisfactory immediate and long-term clinical efficacy, which is worth clinical application.
出处
《安徽医学》
2013年第6期754-756,共3页
Anhui Medical Journal
