摘要
目的对比分析桡动脉掌浅支腕横纹皮瓣与骨间背侧动脉穿支皮瓣修复手指创面缺损的临床疗效。方法选取2014年8月至2021年8月华北医疗健康集团邢台总医院收治的102例手指软组织缺损患者,采用随机数字表法分为A组和B组,每组51例。A组采用骨间背侧动脉穿支皮瓣治疗,B组采用桡动脉掌浅支腕横纹皮瓣治疗。比较两组患者的临床疗效、手术情况(术中失血量、皮瓣成活率)、术后并发症发生率,随访3个月观察患者皮瓣及供区的恢复情况。结果A组治疗有效率为88.24%,明显高于B组的64.71%,差异有统计学意义(P<0.05)。A组术中失血量低于B组,皮瓣成活率高于B组,差异均有统计学意义(P<0.05)。A组术后并发症发生率(2.0%)与B组(9.8%)比较差异无统计学意义(P>0.05)。术后随访3个月,两组患者皮瓣外形、供区功能均恢复良好,皮瓣色泽、质地、弹性恢复良好。结论与桡动脉掌浅支腕横纹皮瓣相比,骨间背侧动脉穿支皮瓣修复手指创面缺损临床疗效良好,值得临床应用。
Objective To analyze and compare the clinical effects of superficial palmar branch wrist flap of radial artery and dorsal artery perforator flap of interbone on repairing finger wound defect.Method A total of 102 patients with soft tissue defect of finger treated in Xingtai General Hospital of North China Medical and Health Group from August 2014 to August 2021 were selected and divided into group A and group B by random number table method,with 51 cases in each group.Group B was treated with carpal striated flap of superficial palmar branch of radial artery,and group A was treated with dorsal interosseous artery perforator flap.The clinical efficacy,surgical conditions(intraoperative blood loss,flap survival rate),wound healing rate after repair and postoperative complications were observed in the two groups,and the patients were followed up for 3 months for their recovery.Result After treatment,the total effective rate of group A was 88.24%,which was significantly higher than that of group B,64.71%,and the difference was statistically significant(P<0.05).In group B,the difference was statistically significant(P<0.05);in terms of wound healing effect,group A was lower than group B,and the difference was statistically significant(P<0.05);the incidence of complications in group B(9.8%)compared with the complication rate of group A(2.0%),the difference was not statistically significant(P>0.05).During the 3-month follow-up,the shape of the flaps and the function of the donor site in the two groups recovered well,and the texture,color and elasticity of the flaps recovered well.Conclusion Dorsal interosseous artery perforator flap has more significant clinical effect on the repair of finger wound defect and fewer complications,it is worthy of clinical application.
作者
李叶
赵书明
刘学亮
马丽莎
Li Ye;Zhao Shuming;Liu Xueliang;Ma Lisha(Department Microsurgery,Xingtai General Hospital,North China Medical and Health Group,Xingtai,Hebei 054000,China;Operating Room,Xingtai General Hospital,North China Medical and Health Group,Xingtai,Hebei 054000,China)
出处
《中国医刊》
CAS
2024年第6期611-613,共3页
Chinese Journal of Medicine
基金
河北省重点研发计划自筹项目(182777243)。
关键词
桡动脉掌浅支皮瓣
骨间背侧动脉穿支皮瓣
手指软组织缺损
修复
Superficial palmar branch of radial artery wrist flap
Dorsal interosseous artery perforator flap
Finger soft tissue defect
Repair
