摘要
目的比较3种皮瓣修复手指软组织缺损的疗效。方法将73例手指软组织缺损患者按照皮瓣修复技术不同分为A组(采用腹部带蒂皮瓣修复,26例,32指)、B组(采用邻指皮瓣修复,25例,25指)、C组(采用皮穿支链皮瓣修复,22例,27指)。比较3组手术情况、手功能评价、手部皮瓣评价。结果患者均获得随访,时间1~3(1.5±0.5)年。手术时间3组比较差异无统计学意义(P>0.05);住院时间、住院费用C组短(少)于A、B组(P<0.05),A组与B组比较差异均无统计学意义(P>0.05)。术后1年采用手指总自主活动度测定法评价手功能优良率,C组高于A、B组(P<0.05),B组高于A组(P<0.05)。术后1年手部皮瓣评价优良率,C组高于A、B组(P<0.05),B组高于A组(P<0.05)。结论腹部带蒂皮瓣、邻指皮瓣、皮穿支链皮瓣3种方法修复手指软组织缺损比较,皮穿支链皮瓣修复的住院时间短、费用低、手功能恢复好、手部皮瓣评价优良率高,其次为邻指皮瓣,手功能优良率和手部皮瓣评价优良率均高于腹部带蒂皮瓣。
Objective To compare the effects of three kinds of skin flaps in repairing finger soft tissue defects.Methods The 73 cases with finger soft tissue defects were divided into group A(abdominal pedicled flap,n=26,32 fingers),group B(adjacent digital flap,n=25,25 fingers)and group C(cutaneous perforator chain flap,n=22,27 fingers),according to the different skin flap repair techniques.The operation condition,hand function evaluation and hand flap evaluation were compared among the 3 groups.Results All patients were followed up for 1~3(1.5±0.5)years.There was no statistical difference in operation time among the three groups(P>0.05).The hospitalization time and expense in group C were shorter(less)than those in groups A and B(P<0.05),and there was no statistical difference between group A and group B(P>0.05).One year after operation,the excellent-good rate of hand function was assessed with finger total active motion,group C was higher than that of group A and B(P<0.05),and group B was higher than group A(P<0.05).The excellent-good rate of hand flap evaluation in group C was higher than that in groups A and B at 1 year after operation(P<0.05),and that in group B was higher than that in group A(P<0.05).Conclusions Compared with abdominal pedicle flap,adjacent finger flap and skin perforator chain flap are used to repair the finger soft tissue defects,the skin perforator chain flap has shorter hospital stay,lower cost,better hand function recovery,and higher excellent and good rate of hand flap evaluation,followed by adjacent finger flap.The excellent-good rate of hand function and hand flap evaluation are higher than those of abdominal pedicle flap.
作者
刘铁虎
LIU Tie-hu(Section Ⅲ,Dept of Hand Surgery and Micro-Orthopaedics,Luoyang Orthopaedic-Traumatological Hospital of Henan Province,Henan Provincial Orthopaedic Hospital,Luoyang,Henan 471000,China)
出处
《临床骨科杂志》
2023年第5期669-673,共5页
Journal of Clinical Orthopaedics
关键词
手指软组织缺损
腹部带蒂皮瓣
邻指皮瓣
皮穿支链皮瓣
finger soft tissue defect
abdominal pedicled flaps
adjacent finger flaps
cutaneous perforator chain flaps
