不同超薄游离穿支皮瓣修复手软组织缺损效果比较.docVIP

不同超薄游离穿支皮瓣修复手部软组织缺损效果比较 　　[摘要]目的：观察比较不同超薄游离穿支皮瓣在手部软组织缺损中的修复效果。方法：选取2014年1月-2016年7月于本院进行手术治疗的72例手部软组织缺损患者为研究对象，将其随机分为对照组（超薄游离胸脐穿支皮瓣修复）和研究组（超薄游离腓动脉穿支皮瓣修复），每组36例。比较两组患者的临床总有效率、治疗后不同时间的感觉功能、手部功能及甲襞微循环指标。结果：研究组患者的临床总有效率显著高于对照组，差异有统计学意义（P中国论文网 /6/viewhtm　　[关键词]超薄游离胸脐穿支皮瓣；超薄游离腓动脉穿支皮瓣；手部?组织缺损；修复效果；功能改善 　　[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2018）03-0021-03 　　Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand 　　ZENG De-bin1，LI Peng-cheng2，QIU Xun-yong1，WU Kai-qiu1，CHEN Peng1，WANG Yan1 　　（1.Department of Microsurgery，Hainan Provincial Peoples Hospital，Haikou 570311，Hainan，China；2.Department of Hand Surgery，Beijing Jishuitan Hospital，Beijing 100035，China） 　　Abstract： Objective To observe and compare the repair effect of different ultrathin free perforator flaps in the treatment of patients with soft tissue defect of hand. Methods 72 patients with soft tissue defect of hand who were treated with surgery in our hospital from January 2014 to July 2016 were selected for the research， and they were randomly divided into the control group（repair of ultra thin free thoracic umbilical perforator flap） and the study group（repair of ultrathin free peroneal artery perforator flap）. Then the clinical effective rates sensory function，hand function and nailfold microcirculation indexes at different time after the treatment of two groups were analyzed and compared. Results The clinical effective rates of the study group were significantly higher than that of the control group， the difference was statistically significant（P 　　1 资料和方法 　　1.1 临床资料：选取2014年1月-2016年7月于本院进行手术治疗的72例手部软组织缺损患者为研究对象，将其随机分为对照组（超薄游离胸脐穿支皮瓣修复）和研究组（游离腓动脉穿支皮瓣修复），每组36例。对照组：男20例，女16例；年龄20～42岁，平均（31.3±7.9）岁；缺损面积（3.1～6.5）cm×（10.2～16.5）cm；病灶部位：手背者25例，其他部位者11例；致伤原因：车祸伤者18例，压轧伤者12例，其他6例。研究组：男21例，女15例；年龄20～43岁，平均（31.6±7.6）岁；缺损面积为（3.2～7.0）cm×（10.5～17.1）cm；病灶部位：手背者26例，其他部位者10例；致伤原因：车祸伤者19例，压轧伤者11例，其他6例。两组手部软组织缺损患者的上述基本资料比较，差异无统计学意义（P0.05）