摘要
目的:探讨穿支皮瓣修复和常规方法在手外伤患者中的临床效果。方法:取2015-01~2016-10医院收治的手外伤患者60例,随机数字法分为对照组(n=30)和观察组(n=30)。对照组采用常规方法修复,观察组采用穿支皮瓣修复,比较2组修复效果。结果:2组VAS评分比较差异无统计学意义(P>0.05);观察组治疗后VAS评分为(1.93±0.74)分,对照组为(3.26±0.91)分,2组治疗后VAS评分比较差异有统计学意义(P<0.05)。观察组治疗后1例发生皮瓣肿胀,0例皮瓣感染,1例皮瓣边缘坏死,发生率为6.67%,低于对照组的13.33%(2例发生皮瓣肿胀,1例皮瓣感染,1例皮瓣边缘坏死)(P<0.05)。结论:手外伤患者采用穿支皮瓣修复效果理想,成活率高,有助于手部功能恢复,值得推广应用。
Objective:To investigate the clinical effect of perforator flap repair and conventional methods in patients with hand trauma.Methods:60 patients with hand trauma were selected from the first affiliated hospital between January 2015 and October 2016.Patients were randomly divided into control group(n=30) and observation group(n=30).Conventional repair method was administrated to control group patients,and perforator flap repair method was administrated to observation group patients.The clinical effect of these two methods was compared.Results:There was no significant difference in VAS score between two groups(P>0.05) before treatment;The VAS score was 1.93±0.74 and 3.26±0.91 in observation group and control group respectively after treatment.The difference of VAS score in two groups had statistical significance(P<0.05).The observation group had 1 case of flap swelling,none skin flap infection,1 case skin flap necrosis after treatment.The incidence was 6.67% which was lower than 13.33% in control group(2 cases of flap swelling,1 case of skin flap infection,1 case of flap edge necrosis)(P<0.05).Conclusion:Perforator flap repair may be the ideal treatment for patients with hand trauma because of the high survival rate,good recovery of hand function,and is worthy of popularization and application.
出处
《黑龙江医药科学》
2017年第4期38-39,共2页
Heilongjiang Medicine and Pharmacy
基金
佳木斯大学科学技术面上项目
编号:S2011-013
关键词
穿支皮瓣修复
常规方法
手外伤
临床效果
手部功能
perforator flap repair
conventional method
hand injury
clinical effect
hand function
