摘要
目的探讨股前外侧穿支皮瓣和腹部带蒂皮瓣修复术治疗手外伤患者组织缺损的临床效果。方法选取沈阳医学院附属中心医院自2009年1月至2015年12月收治的95例手外伤患者为研究对象。将患者分为股前外穿支修复组(n=48)和腹部带蒂皮瓣修复组(n=47)。股前外穿支修复组采取股前外穿支动脉皮瓣修复术;腹部带蒂皮瓣修复组采取腹部带蒂皮瓣修复术,比较两种治疗方法的临床效果。结果股前外侧穿支动脉皮瓣修复组的功能恢复及格率为91.7%(44/48),高于腹部带蒂皮瓣修复组的65.9%(31/47),差异有统计学意义(P<0.05)。股前外侧穿支皮瓣修复组的压觉平均值为0.37 g,腹部带蒂皮瓣修复组压觉平均值为0.87 g,两组比较,差异有统计学意义(P<0.05)。结论股前外侧穿支皮瓣修复术在功能恢复、压觉恢复方面均优于腹部带蒂皮瓣修复术。
Objective To investigate the clinical effects of anterolateral femoral perforator flap and abdominal pedicle flap for those patients with soft tissue defect of hand tranma. Methods A retrospective study was performed on 95 cases of patients with hand trau- ma who were admitted from January 2009 to December 2015. Patients were divided into the anterolateral femoral perforator repair group （ AFPR group, n = 48 ） and abdominal pedicle repair group （ APR group, n = 47 ）. Patients in the AFPR group were repaired with antero- lateral femoral perforator flap;the others in the APR group were repaired with abdominal pedicle flap. The curative effects were com- pared between the two groups. Results The passing rate of functional recovery in AFPR group （91.7 % ）was higher than that in APR group （65.9%）, and the difference was statistically significant （P 〈 0. 05 ）. The mean value of pressure sensation in the AFPR group was 0. 87 g,in the APR group was 0. 37 g, and the difference was statistically significant （ P 〈 0. 05 ）. Conclusion Anterolateral femo- ral perforator flap in repairing soft tissue defects of hand trauma is better than abdominal pedicle flap in the aspects of functional recov- ery and pressure sensation.
作者
翟希
ZHAI Xi(Second Department of Hand Surgery ,Shenyang Medical College Affiliated Hospital ,Shenyang 110024, Chin)
出处
《临床军医杂志》
CAS
2018年第3期272-274,共3页
Clinical Journal of Medical Officers
关键词
穿支皮瓣
带蒂皮瓣
手外伤
软组织缺损
修复重建
Perforator flap
Pedicle flap
Hand trauma
Soft tissue defect
Repair and reconstruction
