首页|手外伤软组织缺损患者进行穿支皮瓣修复术的临床疗效评估

手外伤软组织缺损患者进行穿支皮瓣修复术的临床疗效评估

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目的 探讨采用穿支皮瓣修复术治疗手外伤软组织缺损患者的临床疗效.方法 选取2021年1月—2024年1月福建省福能集团总医院收治的106例手外伤软组织缺损患者为研究对象,根据不同的术式分为对照组与观察组,每组53例.对照组实施胸腹部带蒂皮瓣修复术;观察组实施穿支皮瓣修复术,分析两组患者的临床疗效、炎症因子水平、手术相关指标、并发症发生率.结果 观察组的临床总疗效高于对照组,差异有统计学意义(P<0.05);术后,观察组的炎症因子水平低于对照组,差异有统计学意义(P<0.05);观察组的抗感染时间(7.11±1.65)d、创口愈合时间(8.54±2.01)d、住院时间(7.29±2.10)d均低于对照组的(9.04±2.03)d、(12.11±2.54)d、(9.16±2.21)d,且术后的手功能评分(5.10±0.46)分高于对照组(4.66±0.58)分,差异有统计学意义(t=5.371、8.023、4.465、4.327,P均<0.05);观察组的并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 穿支皮瓣修复术治疗手外伤软组织缺损的临床疗效显著,且手功能改善效果较好,并发症少,具有临床优势.
Clinical Efficacy Evaluation of Perforator Flap Repair in Patients with Soft Tissue Defects Caused by Hand Trauma
Objective To explore the clinical efficacy of using perforator flap repair surgery to treat soft tissue defects in patients with hand trauma.Methods A total of 106 patients with soft tissue defects of hand trauma admitted to Fu-jian Funeng Group General Hospital from January 2021 to January 2024 were selected as the research objects.Ac-cording to different surgical methods,they were divided into control group and observation group,with 53 cases in each group.The control group was treated with thoracoabdominal pedicle flap repair;the observation group was treated with perforator flap repair.The clinical efficacy,inflammatory factor level,operation related indexes and com-plication rate of the two groups were analyzed.Results The total clinical efficacy of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After operation,the level of in-flammatory factors in the observation group was lower than that in the control group,and the difference was statisti-cally significant(P<0.05).The anti-infection time(7.11±1.65)d,wound healing time(8.54±2.01)d and hospitaliza-tion time(7.29±2.10)d of the observation group were lower than those of the control group(9.04±2.03)d,(12.11±2.54)d,(9.16±2.21)d,and the postoperative hand function score(5.10±0.46)points was higher than that of the con-trol group(4.66±0.58)points,the difference was statistically significant(t=5.371,8.023,4.465,4.327,all P<0.05);the incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The clinical efficacy of perforator flap repair in the treatment of soft tis-sue defects of hand trauma is significant,and the improvement of hand function is good,with fewer complications and clinical advantages.

Perforator flap repair surgerySoft tissue defects caused by hand traumaClinical efficacyInflammatory factors

徐志平、肖尚毫、徐鹏

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福建省福能集团总医院,福建 福州 350000

穿支皮瓣修复术 手外伤软组织缺损 临床疗效 炎症因子

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(31)