摘要
目的探讨前臂桡动脉腕上穿支链状供血皮瓣对手腕部创面的修复作用。方法抽取我院2015年8月—2017年2月收治的105例手腕部创面患者为研究对象,根据治疗方式分为对照组和观察组,对照组采用常规治疗方案,给予观察组前臂桡动脉腕上穿支链状供血皮瓣修复术,比较两组治疗效果、临床症状缓解情况和不良反应发生率。结果对照组上肢功能得分为(48.0±1.5)分,观察组上肢功能得分为(62.0±1.1)分,差异有统计学意义(P <0.05);两组手术时间、术中出血量、创面愈合时间、住院时间差异有统计学意义(P <0.05),比较两组不良反应发生率,差异有统计学意义(P <0.05)。结论给予手腕部创面患者前臂桡动脉腕上穿支链状供血皮瓣修复术可提高治疗效果,较少术后不良反应。
Objective To investigate the repair effect of chain blood supply flaps of the forearm radial artery on the wrist wound.Methods A total of 105 patients with wrist wounds treated in our hospital from August 2015 to February 2017 were selected as the study subjects.The patients were divided into a control group and an observation group according to the treatment methods.The control group was given a routine treatment,the observation group was given the repair of forearm radial artery with chain blood supply flap on the wrist,the treatment effects,clinical symptom relief and incidence of adverse reactions were compared between the two groups.Results The upper limb function score of the control group was(48.0±1.5)points,and the upper limb function score of the observation group was(62.0±1.1)points,the difference was statistically significant(P<0.05);the operation time,volume of intraoperative bleeding,the time of wound healing and the length of stay were significant different(P<0.05).The incidence of adverse reactions was compared between the two groups(P<0.05).Conclusion Repair of forearm radial artery with chain blood supply flap on the wrist for the patients with wrist wounds,can significantly improve the therapeutic effect and reduce postoperative adverse reactions.
作者
王润龙
WANG Runlong(Department of Surgery,Xiamen Fifth Hospital,Xiamen Fujian 361000,China)
出处
《中国卫生标准管理》
2018年第22期34-36,共3页
China Health Standard Management
关键词
桡动脉腕上穿支
链状供血
修复创面
肢体功能
临床症状
不良反应
radial artery perforator
chain blood supply
repair of wound
limb function
clinical symptoms
adverse reactions
