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
Clinical Efficacy Evaluation of Perforator Flap Repair in Patients with Soft Tissue Defects Caused by Hand Trauma
徐志平 1肖尚毫 1徐鹏1
作者信息
- 1. 福建省福能集团总医院,福建 福州 350000
- 折叠
摘要
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.
Abstract
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.
关键词
穿支皮瓣修复术/手外伤软组织缺损/临床疗效/炎症因子Key words
Perforator flap repair surgery/Soft tissue defects caused by hand trauma/Clinical efficacy/Inflammatory factors引用本文复制引用
出版年
2024
NETL
NSTL
万方数据