两种微型游离皮瓣修复手指末端缺损的疗效比较
Comparison of clinical efficacy of two types of mini-flaps in repairing finger-tip soft tissue defects
孙海军 1邵明磊 1张志成 1武远鹏 1孙同新 1许立平1
作者信息
- 1. 山东省东营市人民医院手足外科,东营 257091
- 折叠
摘要
目的 探讨两种微型游离皮瓣修复指端Ⅱ度缺损的临床效果.方法自2018年1月至2021年6月我们根据损伤的性质、程度、受伤的指别以及患者的意愿,对20例指端Ⅱ度缺损患者采用趾腓背侧复合组织瓣移植再造(A组),另20例指端Ⅱ度缺损患者采用游离桡动脉腕横纹穿支皮瓣修复(B组).术后随访观察皮瓣存活情况,并对皮瓣进行两点分辨觉(two-point discrimination,2PD)检测,比较两组患者感觉功能恢复情况.结果 术后40例皮瓣均存活,随访时间为18～36个月,平均(20.05±10.36)个月,皮瓣质地良好,外形及功能满意.术后随访6、12、18个月时,A、B两组皮瓣的2PD与健侧正常指比较,差异均有统计学意义(P＜0.05).结论 两种微型游离皮瓣是修复指端软组织缺损的较理想皮瓣,成活率高,感觉功能恢复良好,需合理选择应用.
Abstract
Objective To investigate the clinical efficacy of two types of mini-flaps in repairing the degree Ⅱ finger-tip soft tissue defects.Methods From January 2018 to June 2021,based on the nature and severity of the injury,the type of injury,and the patient's wishes,we used a composite tissue flap from the fibular and dorsal side of the toe to reconstruct 20 patients with degree Ⅱ finger defects(Group A),and another 20 patients were repaired using a free radial artery wrist transverse perforator flap(Group B).The survival of the skin flap after surgery was followed up and observed,and the two-point discrimination(2PD)testing on the skin flap was performed.The recovery of sensory function between the two groups of patients was compared.Results All 40 flaps survived after surgery,and the follow-up time was 18 to 36 months,with an average of(20.05±10.36)months.The texture of the flaps was good,and their appearance and function were satisfactory.At postoperative follow-up of 6,12,and 18 months,there were statistically significant differences between the 2PD of the A and B groups of skin flaps and the healthy side of the normal finger(P＜0.05).Conclusion Two types of mini-flaps are ideal for repairing finger-tip soft tissue defects,with high survival rates and good sensory function recovery.The reasonable selection and application are necessary.
关键词
外科皮瓣/对比研究/(足母)趾腓背侧皮瓣/修复/指端缺损Key words
Surgical flaps/Comparative study/Great toe fibular flap/Repair/Finger-tip soft tissue defect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据