摘要
目的探讨逆行带蒂皮瓣和游离微型皮瓣修复在手部皮肤缺损中的临床疗效比较。方法将2017年10月-2019年12月期间诊治的25例手部皮肤缺损患者作为研究对象,随机分成对照组(n=15)和观察组(n=10),对照组给予逆行带蒂皮瓣修复治疗,观察组给予游离微型皮瓣修复治疗,比较术后手功能评分及临床疗效。结果术后观察组在运动功能、日常生活活动、感觉恢复、血运恢复情况评分方面均高于对照组(P<0.01);术后随访3个月,观察组优良率高于对照组,两组比较,无统计学意义(P>0.05)。结论两种修复方式均有效,但游离微型皮瓣修复效果良好,有助于患者手功能恢复,值得推广。
Objective To compare the clinical effects of reverse pedicled flap and free mini flap in the repair of hand skin defects.Methods 25 patients with hand skin defects diagnosed and treated from October 2017 to December 2019 were randomly divided into control group(n=15)and observation group(n=10).The control group was treated with retrograde pedicled flap,and the observation group was treated with free micro flap.The postoperative hand function score and clinical efficacy were compared.Results After operation,the scores of motor function,activities of daily living,sensory recovery and blood circulation recovery in the observation group were higher than those in the control group(P<0.01);after 3 months of follow-up,the excellent and good rate in the observation group was higher than that in the control group(P>0.05).Conclusion Both methods are effective,but the effect of free micro flap is good,which is helpful to the recovery of hand function and is worthy of popularization.
作者
高华
Gao Hua(Jiangsu Liyang traditional Chinese medicine hospital,Changzhou,213300 China)
出处
《首都食品与医药》
2022年第8期32-33,共2页
Capital Food Medicine
