摘要
目的探讨桡动脉掌浅支皮瓣修复对伴动脉缺损手指创面患者皮瓣成活率及感觉恢复的影响。方法回顾性分析我院创面修复科2014年1月-2020年5月收治的110例伴动脉缺损手指创面患者临床资料,依据修复方式不同分为对照组(57例)与观察组(53例),予以对照组静脉皮瓣修复术治疗,予以观察组桡动脉掌浅支皮瓣修复术治疗。比较两组临床疗效、围术期指标、皮瓣存活率及感觉恢复情况。结果观察组优良率高于对照组,差异有统计学意义(P<0.05)。与对照组相比,观察组手术用时较长,创面愈合时间较短,皮瓣存活率较高,手指感觉恢复较好,差异有统计学意义(P<0.05)。结论伴动脉缺损手指创面患者采用桡动脉掌浅支皮瓣修复术治疗效果确切,可加速创面愈合,提升皮瓣成活率,促进手指感觉恢复,值得临床推广。
Objective To investigate the effect of repairing the superficial radial branch of the radial artery(SPBRA)flap on the survival rate and sensory recovery of patients with arterial defect in finger wounds.Methods Retrospectively analyzed the clinical data of 110 patients with arterial defects and finger wounds who were received by the Wound Repair department of our hospital from January 2014 to May 2020,they were divided into a control group(57 cases)and an observation group(53 cases)according to different repair methods.The control group was treated with venous flap repair and the observation group was treated with superficial radial branch of the radial artery flap repair.The clinical efficacy,perioperative indicators,flap survival rate and sensory recovery of the two groups were compared.Results The excellent rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Compared with the control group,the observation group took longer time for operation,the wound healing time was shorter,the flap survival rate was higher,and the finger sensation recovered better.The difference was statistically significant(P<0.05).Conclusion The superficial radial branch of the radial artery flap repair technique in patients with finger defects with arterial defects has definite therapeutic effect,which can accelerate wound healing,improve the survival rate of the flap,and promote the recovery of finger sensation.
作者
杨冠龙
徐林刚
王丽英
徐绍君
石凡超
王莉杰
黄红军
YANG Guan-long;XU Lin-gang;WANG Li-ying;XU Shao-jun;SHI Fan-chao;WANG Li-jie;HUANG Hong-jun(Department of Wound Repair,Zhengzhou First People’s Hospital,Zhengzhou,Henan 450004,China)
出处
《中国医疗美容》
2020年第6期50-54,共5页
China Medical Cosmetology
基金
中国创面修复适宜技术的规范应用及功能拓展的多中心临床研究(2017Z01001)
子课题:PRP技术在创面修复领域的多中心临床研究(2017Z01001S8)。
关键词
手指创面
动脉缺损
桡动脉掌浅支皮瓣修复
皮瓣成活率
指感恢复
finger wound
arterial defect
repair of superficial palmar branch flap of radial artery
survival rate of flap
recovery of finger sense
