改进示指背侧岛状皮瓣修复拇指皮肤缺损效果研究.docVIP

改进示指背侧岛状皮瓣修复拇指皮肤缺损效果研究 　　[摘要]目的 探讨改进示指背侧岛状皮瓣修复拇指皮肤缺损的临床效果。方法 选取2013年4月11日～2016年7月20日在我院诊断治疗的46例拇指皮肤缺损患者的临床资料进行回顾性分析，改进组（21例，应用改进示指背侧岛状皮瓣修复治疗）、传统组（25例，应用传统示指背侧岛状皮瓣修复治疗）均随访1年，研究对改进组和传统组患者的皮瓣成活率、满意度评分、日常生活活动能力评分及指功能评分。结果 改进组患者皮瓣成活率与传统组比较，差异无统计学意义（P0.05）；改进组患者满意度评分显著高于传统组（P0.05）；术后1年日常生活活动能力评分显著高于传统组（P0.05）；改进组患者术后1年指功能评分显著高于传统组（P0.05）。结论 对拇指皮肤缺损患者采取改进示指背侧岛状皮瓣修复治疗切实可行，有助于改善指功能。 　　[关键词]改进；示指背侧岛状皮瓣；修复；拇指；皮肤缺损 　　[中图分类号] R658 [文献标识码] A [文章编号] 1674-4721（2018）2（c）-0040-03 　　[Abstract]Objective To investigate the clinical effect of improved dorsal island flap of index finger in repairing skin defect of thumb.Methods The clinical data of 46 cases of thumb skin defect diagnosed and treated in our hospital from April 11，2013 to July 20，2016 were analyzed retrospectively.The improved group （21 cases，treated with improved dorsal island flap of index finger ） and the traditional group （25 cases，treated with traditional dorsal island flap of index finger） were followed up for 1 year.The survival rate，satisfaction score， daily living ability score and finger function score of the improved group and the traditional group were compared.Results There was no signficant difference in the survival rate of skin flap between the two groups （P0.05）.The satisfaction degree of the improved group was significantly higher than that of the traditional group（P0.05）.One year after the operation，the scores of daily living activities were significantly higher than those of the traditional group（P0.05）.One year finger function score of the improved group was significantly higher than that of the traditional group（P0.05）.Conclusion It is feasible to improve the treatment of the patients with thumb skin defect by improving the treatment of the dorsal island flap. 　　[Key words]Improvement；Index finger dorsal island flap；Repair；The thumb；Skin defect 　　拇指皮肤缺损属于临床较为常见的疾病之一，随着近些年工业的快速发展，拇指皮肤缺损的患病率呈现逐渐增加的趋势[1]，该疾病若未及时获得有效治疗，严重者可影响手指功能，从而使患者生活质量严重下降[2]。我院对拇指皮肤缺损患者实施改进示指背侧岛状皮瓣修复治疗，旨在探究改进示指背侧岛状皮瓣修复的效果，现报道如下