CAJ | 학술논문

　　目的：进一步研究和比较腹部带蒂皮瓣修复方法与游离皮瓣修复方法在手背软组织缺损及功能重建过程中的疗效差异，从而为临床实践提供切实可靠依据。方法：本文从本院2010年12月-2012年12月期间入院治疗手背软组织缺损的患者中选取了84例，进行了回顾性分析。结果：两组患者实施不同皮瓣修复方法治疗后，治疗组患者的住院时间显著短于对照组患者水平，组间比较差异有统计学意义（P<0.05）；治疗组患者的手部关节总活动度显著大于对照组患者的水平，组间比较差异具有统计学意义（P<0.05）。结论：在临床治疗手背软组织缺损及功能重建的过程中，与腹部带蒂皮瓣修复方法相比较，采用游离皮瓣修复方法的临床效果显著，是临床治疗手背软组织缺损的安全可靠选择。
　　목적：진일보연구화비교복부대체피판수복방법여유리피판수복방법재수배연조직결손급공능중건과정중적료효차이，종이위림상실천제공절실가고의거。방법：본문종본원2010년12월-2012년12월기간입원치료수배연조직결손적환자중선취료84례，진행료회고성분석。결과：량조환자실시불동피판수복방법치료후，치료조환자적주원시간현저단우대조조환자수평，조간비교차이유통계학의의（P<0.05）；치료조환자적수부관절총활동도현저대우대조조환자적수평，조간비교차이구유통계학의의（P<0.05）。결론：재림상치료수배연조직결손급공능중건적과정중，여복부대체피판수복방법상비교，채용유리피판수복방법적림상효과현저，시림상치료수배연조직결손적안전가고선택。
Objective:To further study and compare the differences of the effect for abdominal pedicle skin flap repair method and free flap repair method in the process of the function of hand soft tissue defect and rebuilding,so as to provide real and reliable basis for clinical practice.Method:84 cases patients in our hospital from December 2010 to December 2012 hospitalized with hand soft tissue defect were retrospectively analyzed.Result:After the implementation of different flap repair methods,the length of hospital stay in the treatment group was shorter than the control group patients, and compared between groups,the difference was statistically significant(P<0.05).The level of total activity of hand joints in the treatment group was significantly greater than the control group patients,and compared between groups,the difference was statistically significant(P<0.05).Conclusion:In the clinical therapy of hand soft tissue defects and functional reconstruction process,compared with free skin flap repair method,the clinical effect of abdominal pedicle skin flap repair methods is remarkable,and it is safe and reliable in the clinical treatment of hand soft tissue defect.