摘要
目的探讨游离股前外侧皮瓣修复手部软组织缺损的临床效果,并分析影响游离皮瓣存活的相关因素。方法100例手部软组织缺损患者,均在彻底清创处理后行游离股前外侧皮瓣移植术修复。评价患者创面愈合的情况,并搜集患者的临床资料,采用卡方检验和Logistic回归分析模型对影响皮瓣存活的相关因素进行分析。结果经游离股前外侧皮瓣移植修复后,皮瓣移植存活率为81%。单因素分析结果显示皮瓣坏死与患者的年龄、吸烟、患糖尿病、皮瓣受区感染、精神状态和NRS疼痛评分有关(P<0.05),多因素Logistic回归分析结果显示年龄>60岁、吸烟、患糖尿病、皮瓣受区感染、精神状态差、NRS疼痛评分>7分是皮瓣坏死的独立危险因素(P<0.05)。结论游离股前外侧皮瓣移植修复手部软组织缺损的皮瓣存活率较高,年龄>60岁、吸烟、糖尿病、皮瓣受区感染、精神状态差、NRS疼痛评分>7分是皮瓣坏死的危险因素。
Objective To investigate the clinical outcomes of the free anterolateral femoral flap in repairing the soft-tissue defects in the hand and to analyze the factors associated with the survival of the free flap.Methods A total of 100 patients with soft-tissue defects of the hand received free anterolateral femoral flap transplantation after thorough debridement.The process of wound healing was evaluated and relevant clinical data were collected.The Chi-square tests and Logistic regression analysis models were used to analyze the factors associated with flap survival.Results After the free anterolateral femoral flap transplantation,the flap transplantation survival rate was 81%.Univariate analysis showed that skin flap necrosis was related to age,smoking,diabetes,skin flap infection,mental status,and NRS pain score(P<0.05).Multivariate Logistic regression analysis showed that aged over 60,smoking,diabetes,skin flap infection,bad mental status,and NRS pain scored>7 were independent risk factors for skin flap necrosis(P<0.05).Conclusions Free anterolateral thigh flap transplantation to repair the hand soft-tissue defect has a higher survival rate.Aged over 60 years old,smoking,diabetes,flap area infection,bad mental status,NRS pain score>7 points were risk factors for flap necrosis.
作者
蔡灵敏
郭翱
郑良军
欧阳代明
CAI Lingming;GUO Ao;ZHENG Liangjun;OUYANG Daiming(Department of Hand surgery,Taizhou Orthopedics Hospital,Taizhou 317500,China)
出处
《健康研究》
CAS
2021年第1期91-94,共4页
Health Research
关键词
游离股前外侧皮瓣
软组织缺损
移植
皮瓣存活
影响因素
free anterolateral femoral flap
soft tissue defect
transplantation
the flap survival
influencing factors
