摘要
目的探讨腹股沟皮瓣移植术修复上肢深度烧伤创面的临床效果。方法选取2014年10月至2015年10月于本院就诊的上肢深度烧伤患者30例为研究对象,将其随机分为观察组和对照组,每组各15例。观察组患者行腹股沟带蒂皮瓣移植术,对照组患者行前臂、胸或髂腰等部位带血管蒂皮瓣逆行移植术。比较两组患者的治疗效果。结果观察组患者治疗总有效率(100.00%)显著高于对照组(73.33%)(P<0.05),皮瓣断蒂时间[(22.00±2.70)天]显著短于对照组[(28.80±2.20)天](P<0.05),上肢肌张力和手部肌张力美国国立卫生研究院卒中量表(NIHSS)评分[(1.14±0.37)分,(1.56±0.61)分]低于对照组[(2.85±1.35)分,(3.42±1.64)分](P<0.05)。结论腹股沟皮瓣移植术对上肢深度烧伤创面的修复效果较好,损伤小,成功率高。
Objective To investigate the repair effect of groin skin flap transplantation on deep burn of upper limb. Method 30 patients with deep burn of upper limb from October 2014 to October 2015 in our hospital were selected as research objects, they were divided into two groups randomly, 15 cases in each gruop. Observation group patients were treated with groin skin flap transplantation, control group patients were treated with forearm, chest or waist iliac flap transplantation. The treatment effects between the two groups were compared. Result The total efficiency of observation group（100.00%） was higher than control group（73.33%）（P〈0.05）; time for flap pedicle division of observation group [（22.00±2.70） days] was shorter than control group [（28.80±2.20） days] and National Institutes of Health Stroke Scale（NIHSS） of observation group [（1.14±0.37） points,（1.56±0.61） points] were lower than control group [（2.85±1.35） points,（3.42±1.64） points]（P〈0.05）. Conclusion The repair effect of groin skin flap transplantation on deep burn of upper limb is better, less damage, high success rate.
出处
《中国医学前沿杂志（电子版）》
2016年第9期166-168,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
腹股沟皮瓣移植术
上肢
深度烧伤
创面修复
Groin skin flap transplantation
Upper limb
Deep burn
Burn wound repair
