三种游离皮瓣修复指端Ⅱ度缺损的疗效比较
Comparison of clinical efficacy of three types of free skin flaps for repairing degree Ⅱ fingertip defects
孙海军 1许立平 1邵明磊 1武远鹏 1孙同新 1张志成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 探讨三种游离皮瓣修复指端Ⅱ度缺损的临床效果.方法 我科自2020年1月至2022年6月根据损伤的性质、严重程度、受伤指别以及患者的治疗意愿,采用三种游离皮瓣修复45例指端Ⅱ度缺损患者,并通过统一的检测标准进行检测.结果 45例皮瓣均存活,皮瓣质地良好,外形及功能满意.术后随访6、12、18个月时,全形再造组、腕横纹皮瓣组以及游离静脉皮瓣的2PD(m2PD和s2PD)与健康对照组2PD(m2PD和s2PD)结果比较,差异均有统计学意义(P＜0.05或P＜0.01).结论 皮瓣仍是修复手指缺损的主要手段,三种游离皮瓣是修复指端软组织缺损的理想皮瓣,且成活率高,感觉功能恢复良好,应因地制宜,合理选择应用.
Abstract
Objective To investigate the clinical efficacy of three types of free skin flaps for repairing degree Ⅱ fingertip defects.Methods From January 2020 to June 2022,three types of free skin flaps were used to repair 45 patients with degree Ⅱ fingertip defects based on the nature,severity,type of injured finger,and treatment willingness of the patients,and clinical results were tested according to unified testing standards.Results All 45 skin flaps survived,with good texture and satisfactory appearance and function.At postoperative follow-up of 6,12,and 18 months,there were statistically significant differences(P＜0.05 or P＜0.01)in the 2PD(m2PD and s2PD)results between the full reconstruction group,the wrist transverse flap group,and the free venous flap group and the healthy control group.Conclusion Flaps are still the main means of repairing finger defects.Three types of free flaps are ideal for repairing fingertip soft tissue defects,with a high survival rate and good sensory function recovery.They should be selected and applied according to local conditions.
关键词
外科皮瓣/治疗结果/全形再造/指端缺损Key words
Surgical flaps/Treatment outcome/Comprehensive reconstruction/Fingertip soft tissue defects引用本文复制引用
出版年
2024
NETL
NSTL
万方数据