中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
6期
630-632
,共3页
樊安未%黄连铭%徐爱敬%高文华
樊安未%黃連銘%徐愛敬%高文華
번안미%황련명%서애경%고문화
小型游离皮瓣%手外伤%软组织缺损%移植
小型遊離皮瓣%手外傷%軟組織缺損%移植
소형유리피판%수외상%연조직결손%이식
Free mini-flap%Hane trauma%Soft tissue eefects%Transplant
目的：探讨小型游离皮瓣修复手外伤软组织缺损的临床效果。方法65例手指皮肤软组织缺损患者分别行小型足趾游离皮瓣（观察组，31例）和髂腹部带蒂皮瓣（对照组，34例）修复，观察两组患者围手术期情况、术后皮瓣愈合情况及手外形和感觉功能恢复情况。结果观察组患者手术时间长于对照组[（207.8±29.5）min 与（123.4±21.6）min，t =13.24，P <0.001]；术后皮瓣Ⅰ期愈合率为96.8％（30/31），高于对照组的76.5％（26/34）（χ2=5.646，P <0.05），皮瓣肿胀、淤血发生率低于对照组[3.23％（1/31）与20.59％（7/34），P =0.016]；观察组手部外形完好率为96.8％（30/31），高于对照组79.4％（27/34），两组比较差异有统计学意义（ P =0.033）；感觉恢复情况优于对照组（ Z =5.379，P<0.001）。结论小型游离皮瓣修复手外伤软组织缺损可获得最佳的外形和感觉功能恢复，是修复手外伤软组织缺损的良好选择。
目的：探討小型遊離皮瓣脩複手外傷軟組織缺損的臨床效果。方法65例手指皮膚軟組織缺損患者分彆行小型足趾遊離皮瓣（觀察組，31例）和髂腹部帶蒂皮瓣（對照組，34例）脩複，觀察兩組患者圍手術期情況、術後皮瓣愈閤情況及手外形和感覺功能恢複情況。結果觀察組患者手術時間長于對照組[（207.8±29.5）min 與（123.4±21.6）min，t =13.24，P <0.001]；術後皮瓣Ⅰ期愈閤率為96.8％（30/31），高于對照組的76.5％（26/34）（χ2=5.646，P <0.05），皮瓣腫脹、淤血髮生率低于對照組[3.23％（1/31）與20.59％（7/34），P =0.016]；觀察組手部外形完好率為96.8％（30/31），高于對照組79.4％（27/34），兩組比較差異有統計學意義（ P =0.033）；感覺恢複情況優于對照組（ Z =5.379，P<0.001）。結論小型遊離皮瓣脩複手外傷軟組織缺損可穫得最佳的外形和感覺功能恢複，是脩複手外傷軟組織缺損的良好選擇。
목적：탐토소형유리피판수복수외상연조직결손적림상효과。방법65례수지피부연조직결손환자분별행소형족지유리피판（관찰조，31례）화가복부대체피판（대조조，34례）수복，관찰량조환자위수술기정황、술후피판유합정황급수외형화감각공능회복정황。결과관찰조환자수술시간장우대조조[（207.8±29.5）min 여（123.4±21.6）min，t =13.24，P <0.001]；술후피판Ⅰ기유합솔위96.8％（30/31），고우대조조적76.5％（26/34）（χ2=5.646，P <0.05），피판종창、어혈발생솔저우대조조[3.23％（1/31）여20.59％（7/34），P =0.016]；관찰조수부외형완호솔위96.8％（30/31），고우대조조79.4％（27/34），량조비교차이유통계학의의（ P =0.033）；감각회복정황우우대조조（ Z =5.379，P<0.001）。결론소형유리피판수복수외상연조직결손가획득최가적외형화감각공능회복，시수복수외상연조직결손적량호선택。
Objective To explore the clinical effects of free mini-flap on reconstruction of soft traumatic tissue eefects Methods Sixty-five cases with skin ane soft tissue eefects of the fingers were selectee as our subjects ane were eivieee into control ane observation group(31 cases for each group). Patients in observation group were treatee with the free mini-flap transplantation ane in control were treatee with iliac abeominal peeicle flap for reconstructing soft tissue eefects of finger. The information inclueing flap healing,hane shape ane sensory function recovery were observee ane recoreee. Results The operation perioes of observation group was(207. 8 ± 29. 5)min,higher than that of control group((123. 4 ± 21. 6)min)ane the eifference was significant( t= 13. 24,P < 0. 001). The rate of flaps healee as rank Ⅰ in observation group was 96. 8%(30 / 31),higher than that of 76. 5 %(26 / 31)in control group(χ2 = 5. 646,P < 0. 05). The rate of flap swelling,congestion were lower than that of the control group(3. 23%(1 / 31)vs 20. 59%(7 / 34),P = 0. 016). The rate of hane shape intact in observation group were 96. 8%(30 / 31),higher than that of control group(79. 4%(27 / 34)),ane the eifference was significant(P = 0. 033). The sensory recovery of hane in observation group was superior than that of control group(Z = 5. 379,P < 0. 001). Conclusion The free mini-flap is gooe option for reconstruction of soft traumatic tissue eefects eue to getting the best shape ane functional recovery.
