中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
12期
62-63,64
,共3页
静脉动脉化%皮瓣%创面
靜脈動脈化%皮瓣%創麵
정맥동맥화%피판%창면
Arterialized venous%Skin flap%Wound
目的：探讨静脉动脉化皮瓣游离移植修复四肢小创面的临床应用价值，为临床提供一种实用有效、存活率高、外观好的修复创面的皮瓣移植方式。方法：选取2012年6月-2013年6月在本院进行皮瓣修复创面手术的30例患者作为研究对象，按照随机数字表法将所有患者分为试验组14例和对照组16例。试验组采用静脉动脉化皮瓣修复，对照组采用经典皮瓣修复，观察比较两组手术时间、住院时间、皮瓣短期（3个月）成活率、供区短期（3个月）一期愈合率、术后1年皮瓣外观和感觉的满意度。结果：两组的缺损面积、手术时间和住院时间的比较差异均无统计学意义（P>0.05）。试验组的皮瓣短期（3个月）成活率100%（14/14）明显高于对照组的62.5%（10/16），供区短期（3个月）一期愈合率100%（14/14）明显高于对照组的56.3%（9/16），且术后1年皮瓣外观和感觉的满意度100%（14/14）明显高于对照组的50.0%（8/16），差异均有统计学意义（P<0.05）。结论：静脉动脉化皮瓣游离移植修复四肢小创面有利于提高皮瓣成活率和一期愈合率，值得临床推广。
目的：探討靜脈動脈化皮瓣遊離移植脩複四肢小創麵的臨床應用價值，為臨床提供一種實用有效、存活率高、外觀好的脩複創麵的皮瓣移植方式。方法：選取2012年6月-2013年6月在本院進行皮瓣脩複創麵手術的30例患者作為研究對象，按照隨機數字錶法將所有患者分為試驗組14例和對照組16例。試驗組採用靜脈動脈化皮瓣脩複，對照組採用經典皮瓣脩複，觀察比較兩組手術時間、住院時間、皮瓣短期（3箇月）成活率、供區短期（3箇月）一期愈閤率、術後1年皮瓣外觀和感覺的滿意度。結果：兩組的缺損麵積、手術時間和住院時間的比較差異均無統計學意義（P>0.05）。試驗組的皮瓣短期（3箇月）成活率100%（14/14）明顯高于對照組的62.5%（10/16），供區短期（3箇月）一期愈閤率100%（14/14）明顯高于對照組的56.3%（9/16），且術後1年皮瓣外觀和感覺的滿意度100%（14/14）明顯高于對照組的50.0%（8/16），差異均有統計學意義（P<0.05）。結論：靜脈動脈化皮瓣遊離移植脩複四肢小創麵有利于提高皮瓣成活率和一期愈閤率，值得臨床推廣。
목적：탐토정맥동맥화피판유리이식수복사지소창면적림상응용개치，위림상제공일충실용유효、존활솔고、외관호적수복창면적피판이식방식。방법：선취2012년6월-2013년6월재본원진행피판수복창면수술적30례환자작위연구대상，안조수궤수자표법장소유환자분위시험조14례화대조조16례。시험조채용정맥동맥화피판수복，대조조채용경전피판수복，관찰비교량조수술시간、주원시간、피판단기（3개월）성활솔、공구단기（3개월）일기유합솔、술후1년피판외관화감각적만의도。결과：량조적결손면적、수술시간화주원시간적비교차이균무통계학의의（P>0.05）。시험조적피판단기（3개월）성활솔100%（14/14）명현고우대조조적62.5%（10/16），공구단기（3개월）일기유합솔100%（14/14）명현고우대조조적56.3%（9/16），차술후1년피판외관화감각적만의도100%（14/14）명현고우대조조적50.0%（8/16），차이균유통계학의의（P<0.05）。결론：정맥동맥화피판유리이식수복사지소창면유리우제고피판성활솔화일기유합솔，치득림상추엄。
Objective:To investigate the value of clinical application on small wound of limbs repaired by arterialized venous skin flap free grafting.Method:30 patients underwent skin flap operation in our hospital from June 2012 to June 2013 were selected as research objects,they were randomly divided into the experimental group for 14 cases and the control group for 16 cases.The experimental group was adopted the arterialized venous skin flap,the control group was adopted classic skin flap.The operation time,length of stay,the flap survival rate of short-term(3 months),the primary healing rate of donor site for short term(3 months),the flap appearance and feeling of satisfaction one year after surgery between the two groups were observed and compared.Result:There were no significant differences in defect area,operation time,length of stay between the two groups(P>0.05).The flap survival rate of short-term(3 months)in the experimental group was 100%(14/14),it was significantly higher than 62.5%(10/16)in the control group;the primary healing rate of donor site for short term(3 months)in the experimental group was 100%(14/14),it was significantly higher than 56.3%(9/16)in the control group;the flap appearance and feeling of satisfaction one year after surgery in the experimental group was 100%(14/14),it was significantly higher than 50.0%(8/16) in the control group,the differences were statistically significant(P<0.05). Conclusion:Small wound of limbs repaired by arterialized venous skin flap free grafting is beneficial to improve the survival rate of skin flap and primary healing rate of donor site,is worthy of clinical promotion.
