摘要
目的:观察腹部带蒂皮瓣或吻合血管游离皮瓣移植术合中药外敷、穴位注射治疗前臂及手外伤临床疗效。方法:将本院2015年1月10日——2016年2月20日的前臂及手外伤患者68例,随机分为对照组和治疗组各34例,两组患者按其病情均采用腹部带蒂皮瓣或吻合血管游离皮瓣移植手术法进行手术治疗。治疗组在手术治疗的基础上术后采用中药外敷及穴位注射疗法。术后14 d观察两组伤口愈合情况。结果:术后14 d,对照组34例中,愈合良好28例,占82.35%;感染2例,占5.88%;中远端皮瓣发生静脉回流障碍坏死2例,占5.88%;皮瓣远端部分坏死1例,占2.94%;皮瓣部分撕脱1例,占2.94%。治疗组34例中,愈合良好32例,占94.12%;轻度感染1例,占2.94%;中远端皮瓣发生静脉回流障碍坏死0例;皮瓣远端部分坏死0例;皮瓣部分撕脱1例,占2.94%。两组愈合率比较,治疗组明显优于对照组,P<0.05。随访6个月。移植皮瓣无色素沉着和挛缩现象,皮瓣的颜色与正常皮肤较为接近,有弹性;腕背部皮瓣移植后无挛缩现象,手指可正常做屈伸运动,拇指对掌功能无明显影响,感觉功能恢复欠佳。对照组局部臃肿较明显者20例;治疗组局部臃肿较明显者21例。两组比较无显著性差异,P>0.05。结论:中药外敷合穴位注射对前臂及手外伤腹部带蒂皮瓣或吻合血管游离皮瓣移植术的术后恢复有明显疗效,但对术后形态帮助不明显。
Objective ： To observe the clinical curative effect of abdominal pedicle flap or free vaseularized flap transplantation combined with external application of Chinese medicine, acupuncture point injection in the treatment of forearm and hand injury. Methods ： 68 cases of forearm and hand trauma in our hospital from January 10,2015 to February 20,2016 were randomly divided into the control group and the treatment group with 34 cases in each group. The two groups of patients were treated with abdominal skin flap or free flap of anastomosis of blood vessel. The treatment group on the basis of surgical treatment on the postoperative use of external application of Chinese medicine and acupoint injection therapy. 14 days after operation, the wound healing of the two groups was observed. Results ： 14 days after the operation, the control group of 34 cases, 28 cases healed, 2 cases of infection, accounting for 82.35%, accounting for 5.88%, 2 cases, accounting for 5.88% of venous reflux disorder occurred necrosis of distal flap, flap necrosis in the distal end in 1 cases, accounted for 2.94%, partial flap avulsion in 1 cases, accounting for 2.94%. The treatment group of 34 cases, 32 cases healed, 1 cases of mild infection accounted for 94.12%, accounting for 2.94%,0 cases of necrosis occurred in distal flap venous obstruction, 0 cases of distal necrosis of the flap, flap avulsion in 1 cases, accounting for 2.94%. The healing rate of the two groups was significantly better than that of the control group, P〈0.05. Follow up for 6 months. No pigmentation and skin flap contracture phenomenon, the flap color and normal skin is close, elastic ; wrist dorsal flap transplantation without contracture of fingers can be normal phenomenon do flexion and extension, thumb had no obvious effect on palm poor sensory recovery function. Compared with those in the control group, 20 cases were significantly more than those in the control group, and 21 cases in the treatment group were significantly more than those in the treatment grou
出处
《辽宁中医药大学学报》
CAS
2017年第2期166-168,共3页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
前臂外伤
手外伤
皮瓣移植
中药外敷
穴位注射
forearm trauma
hand injury
skin flap
traditional Chinese medicine
acupoint injection
