摘要
目的观察手外伤软组织缺损行穿支皮瓣修复治疗的疗效.方法随机选取2015年8月—2017年8月该院手外伤软组织缺损患者80例,随机分为两组:一组穿支皮瓣修复治疗组(研究组,40例),一组胸腹带蒂皮瓣修复治疗组(对照组,40例),统计分析两组患者的临床疗效、不良反应发生情况、抗菌药物应用时间、住院时间、愈合时间、组织病理学评分.结果研究组患者治疗的优良率92.5%(37/40)显著高于对照组72.5%(29/40)(x^2=14.45,P<0.05),不良反应发生率2.5%(1/40)显著低于对照组15.0%(6/40)(x^2=11.14,P<0.05),组织病理学评分(8.6±1.6)分显著高于对照组(3.9±1.7)分(t=3.306,P<0.05),抗菌药物应用时间(5.8±1.3)d显著短于对照组(11.2±1.8)d(t=3.365,P<0.05),住院时间(5.7±1.1)d显著短于对照组(16.1±2.4)d(t=4.541,P<0.05),愈合时间(5.2±1.6)d显著短于对照组(24.6±4.1)d(t=6.965,P<0.05).结论手外伤软组织缺损行穿支皮瓣修复治疗的疗效较胸腹带蒂皮瓣修复治疗显著.
Objective To observe the effect of perforator flaps in the repair of soft tissue defect of hand trauma. Methods A total of 80 cases of patients with hand injury and soft tissue defect admitted to our hospital from August 2015 to August 2017 were randomly selected and divided into two groups: study group (treated with perforator flaps, 40 cases) and control group (treated with pedicled thoracoabdominal flaps, 40 cases). The clinical efficacy, adverse reactions, application time of antibiotics, hospitalization time and healing time, histopathological score of the two groups were statistically analyzed. Results The excellent and good rate of treatment in the study group was 92.5%(37/40), which was significantly higher than that in the control group 72.5%(29/40)(χ^2=14.45, P<0.05). The incidence of adverse reactions was 2.5%(1/40), which was significantly lower than that in the control group 15.0%(6/40)(χ^2=11.14, P<0.05). The score of histopathology (8.6±1.6)points was significantly higher than that in the control group (3.9±1.7)points(t=3.306, P<0.05). And the application time of antibiotics (5.8±1.3) d was significantly shorter than that of the control group (11.2±1.8) d (t=3.365, P<0.05). Hospitalization time (5.7±1.1) d was significantly shorter than that of the control group (16.1±2.4) d (t=4.541, P<0.05). Healing time (5.2±1.6) d was significantly shorter than that of the control group (24.6±4.1) d (t=6.965, P<0.05). Conclusion The effect of perforator flaps for soft tissue defect of hand trauma is better than thoracoabdominal pedicled flaps.
作者
付吉东
李敏
张磊
国丽
李金荣
FU Ji-dong;LI Min;ZHANG Lei;GUO Li;LI Jin-rong(Department of Trauma, Longnan Hospital of Daqing, Daqing, Heilongjiang Province, 163453 China)
出处
《系统医学》
2019年第13期10-12,21,共4页
Systems Medicine
关键词
手外伤软组织缺损
穿支皮瓣修复治疗
胸腹带蒂皮瓣修复治疗
Soft tissue defect of hand trauma
Repair and treatment of perforator flaps
Repair and treatment of thoracoabdominal pedicled flaps
