CAJ | 학술논문

目的探讨亚急诊修复手部软组织的可行性。方法 1990 ～ 1999年对352例手部软组织缺损患者,急诊修复115例、亚急诊修复139例,二期修复98例。修复方式视损伤部位及程度的不同采用植皮、带蒂皮瓣和游离皮瓣三种方法。对3组的皮瓣(植皮)感染率和坏死率进行回顾性分析。结果 (1) 感染率:亚急诊组为2.9 %(4/139),和急诊组加二期组相比,差异无显著性意义(γ2 = 0.09, P > 0.05)。(2) 坏死率:亚急诊组为3.6 %(5/139),和急诊组加二期组相比,差异无显著性意义(γ2 = 0.00025, P > 0.05)。结论 3组的感染率和坏死率均无明显差别。亚急诊手术期以急诊清创后1～5 d为妥,临床应用疗效可靠。
목적탐토아급진수복수부연조직적가행성。방법 1990 ～ 1999년대352례수부연조직결손환자,급진수복115례、아급진수복139례,이기수복98례。수복방식시손상부위급정도적불동채용식피、대체피판화유리피판삼충방법。대3조적피판(식피)감염솔화배사솔진행회고성분석。결과 (1) 감염솔:아급진조위2.9 %(4/139),화급진조가이기조상비,차이무현저성의의(γ2 = 0.09, P > 0.05)。(2) 배사솔:아급진조위3.6 %(5/139),화급진조가이기조상비,차이무현저성의의(γ2 = 0.00025, P > 0.05)。결론 3조적감염솔화배사솔균무명현차별。아급진수술기이급진청창후1～5 d위타,림상응용료효가고。
Objective　To investigate the practicalbility of subemergency repair of soft tissue defect in the hand.　Methods　From 1990 to 1999, 352 patients with soft tissue defect in the hand were treated with primary repair in 115 cases, subemergency repair in 139 cases and secondary repair 98 cases. According to the location and extent of the injury, skin graft, pedicled flap and free flap were the options included. Retrospective analysis of the infection rate and necrosis rate in 3 groups was done.　Results　Infection rate and necrosis rate of the subemergency repair group was 2.9 % (4/139) and 3.6 % (5/139) respectively. No significant difference was found between this group and the primary and secondary repair group.　Conclusions　There was no difference of the infection rate and necrosis rate in the 3 groups. Subemergency repair that was done 1 - 5 days after acute debridement had reliable treatment outcome.