中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
7期
1032-1034
,共3页
杨永熙%冯佳雄%黄晓涛%孙泽光%许研然
楊永熙%馮佳雄%黃曉濤%孫澤光%許研然
양영희%풍가웅%황효도%손택광%허연연
早期切痂%腕部%修复%腹部轴型皮瓣
早期切痂%腕部%脩複%腹部軸型皮瓣
조기절가%완부%수복%복부축형피판
Early scab-cutting%Wrist%Healing%Abdomen axis-like skin flap
目的:探讨早期切痂一期腹部轴型皮瓣修复腕部深度电烧伤创面的临床效果。方法回顾性分析70例试行腹部轴型皮瓣修复腕部电烧伤患者的临床资料,按照实际处理情况将其分为早期切痂移植组和延迟切痂组,各35例。观察两组恢复的效果,针对患者术后出现创面感染率、创面愈合时间、皮瓣成活率、创面愈合等级、截肢率进行比较。结果手术后,早期切痂组患者创面感染率11%、创面愈合时间(24.0±6.0)d、皮瓣成活率97%、创面愈合等级(甲级33例,乙级和丙级共2例)、截肢率3%,延迟切痂组患者创面感染率31%、创面愈合时间(35.0±7.4)d、皮瓣成活率83%、创面愈合等级(甲级10例,乙级和丙级共25例)、截肢率17%,两组数据相比,差异均有统计学意义(χ2=4.151、t=6.831、χ2=3.968、χ2=31.895、χ2=3.968,均P<0.05)。结论早期清创切痂利用腹部各轴型皮瓣修复腕部深度电烧伤,能够有效覆盖创面,减少瘢痕增生,促进手部功能恢复,保护手部功能,减少并发症,缩短创面愈合时间和住院时间。
目的:探討早期切痂一期腹部軸型皮瓣脩複腕部深度電燒傷創麵的臨床效果。方法迴顧性分析70例試行腹部軸型皮瓣脩複腕部電燒傷患者的臨床資料,按照實際處理情況將其分為早期切痂移植組和延遲切痂組,各35例。觀察兩組恢複的效果,針對患者術後齣現創麵感染率、創麵愈閤時間、皮瓣成活率、創麵愈閤等級、截肢率進行比較。結果手術後,早期切痂組患者創麵感染率11%、創麵愈閤時間(24.0±6.0)d、皮瓣成活率97%、創麵愈閤等級(甲級33例,乙級和丙級共2例)、截肢率3%,延遲切痂組患者創麵感染率31%、創麵愈閤時間(35.0±7.4)d、皮瓣成活率83%、創麵愈閤等級(甲級10例,乙級和丙級共25例)、截肢率17%,兩組數據相比,差異均有統計學意義(χ2=4.151、t=6.831、χ2=3.968、χ2=31.895、χ2=3.968,均P<0.05)。結論早期清創切痂利用腹部各軸型皮瓣脩複腕部深度電燒傷,能夠有效覆蓋創麵,減少瘢痕增生,促進手部功能恢複,保護手部功能,減少併髮癥,縮短創麵愈閤時間和住院時間。
목적:탐토조기절가일기복부축형피판수복완부심도전소상창면적림상효과。방법회고성분석70례시행복부축형피판수복완부전소상환자적림상자료,안조실제처리정황장기분위조기절가이식조화연지절가조,각35례。관찰량조회복적효과,침대환자술후출현창면감염솔、창면유합시간、피판성활솔、창면유합등급、절지솔진행비교。결과수술후,조기절가조환자창면감염솔11%、창면유합시간(24.0±6.0)d、피판성활솔97%、창면유합등급(갑급33례,을급화병급공2례)、절지솔3%,연지절가조환자창면감염솔31%、창면유합시간(35.0±7.4)d、피판성활솔83%、창면유합등급(갑급10례,을급화병급공25례)、절지솔17%,량조수거상비,차이균유통계학의의(χ2=4.151、t=6.831、χ2=3.968、χ2=31.895、χ2=3.968,균P<0.05)。결론조기청창절가이용복부각축형피판수복완부심도전소상,능구유효복개창면,감소반흔증생,촉진수부공능회복,보호수부공능,감소병발증,축단창면유합시간화주원시간。
Objective To observe therapeutic effects of early scab-cutting combined with axis-like abdo-men skin flap implanting in patients with wrist deep electrical burns.Methods Retrospective study was employed to analyze 70 patients received axis -like abdomen skin flap implanting for wrist deep electrical burns.All the cases were separated with early scab-cutting group(35 cases)and delayed scab-cutting group(35 cases),according to types of skin flap implanting.The therapeutic effect for the two groups were evaluated with rate of infection,duration of healing,living rate of skin flap,grade of skin burning,and rate of amputate.Results In the early scab -cutting group,the rate of infection was 11%,the duration of healing was(24.0 ±6.0)days,the rate of amputate was 3%,the living rate of skin flap was 97.0%,the wound healing of class A was 94.3%.In the delayed scab-cutting group,the data were respectively 31%,(35.0 ±7.4)days,17.0%,31% and 28.6%.Compared with the data of the two groups,the difference had statistical significance(the chi-square value or T value were respectively 4.151,6.831,3. 968,31.895,3.968.All the P values was less than 0.05).Conclusion Early scab-cutting combined with varied sorts of skin flap implanting shown great benefits for treatment of wounded and facilitate rehabilitation in function of wrist,which suggest decrease rate of complications and minimized hospitalized duration.