摘要
目的: 观察并比较穿支皮瓣术与胸腹部带蒂皮瓣修复术在治疗手外伤软组织缺损修复中的疗效。方法: 选取因手外伤软组织缺损行皮瓣修复术的患者79例,按照手术中应用皮瓣不同分为观察组(n=41,穿支皮瓣修复术)和对照组(n=38,胸腹带蒂皮瓣修复术)。观察并比较两组临床疗效、创面愈合时间、抗菌药物使用时间及术后并发症发生情况。结果: 观察组优良率高于对照组,创面愈合时间、抗菌药物使用时间均短于对照组,组间差异均有统计学意义(P<0.05)。结论: 采用穿支皮瓣修复术治疗手外伤软组织缺损可加速创面愈合,缩短抗菌药物使用时间,降低术后并发症发生,进而提高临床疗效。
Objective:To explore the clinical effects of perforator flap and pedicle thoracic skin flap reconstruction on soft tissue defect of hand injury.Methods:Seventy-nine cases with flap prosthetics were selected and divided into an observation group(n=41,perforator flap)and a control group(n=38,pedicle thoracic skin flap reconstruction)based on their different methods for surgery.The clinical effects,the time for wound healing and antibiotic use and the adverse reactions were compared between the two groups.Results:The excellent and good rate was higher and the time for wound healing and antibiotic use was shorter in the observation group than the control group(P<0.05).Conclusion:Perforator flap for the treatment of soft tissue defect of hand injury can accelerate wound healing,shorten the time for the use of antibiotics with less adverse reactions and furthermore,the clinical efficacy can be improved.
作者
陈加琳
CHEN Jialin(Department of Hand and Foot Surgery,the Hospital of China Coal Zhangjiakou Coal Mining Machinery Co.,Ltd.,Hebei Zhangjiakou 075000,China)
出处
《上海医药》
CAS
2018年第17期43-44,59,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
穿支皮瓣术
胸腹部带蒂皮瓣修复术
手外伤软组织缺损
perforator flap
pedicle thoracic skin flap reconstruction
soft tissue defect of hand injury
