CAJ | 학술논문

目的：研究采用逆行第1掌背筋膜蒂皮瓣对手大拇指创面进行修复的手术方法及效果。方法选取2010年10月~2014年2月住院部收治的40例拇指创伤患者为研究对象，以治疗方式的不同为依据将其分为两组；其中以逆行第1掌背筋膜蒂皮瓣的方法进行治疗作为研究组（20例）；以拇指桡背侧皮神经营养血管皮瓣的方法进行治疗作为对照组（20例）；观察其临床效果并分析比较。结果术后两组患者创面恢复佳，组间两点分辨觉、综合评分比较，差异有统计学意义（t=3.92、6.56），术后并发率比较，差异有统计学意义（x2=10.23，P＜0.05）。结论逆行第1掌背筋膜蒂皮瓣对治疗拇指创伤较实用且修复效果满意，具有创伤小、手术简单、安全性高等优点，可作为临床首选治疗方式进行推广应用。
목적：연구채용역행제1장배근막체피판대수대무지창면진행수복적수술방법급효과。방법선취2010년10월~2014년2월주원부수치적40례무지창상환자위연구대상，이치료방식적불동위의거장기분위량조；기중이역행제1장배근막체피판적방법진행치료작위연구조（20례）；이무지뇨배측피신경영양혈관피판적방법진행치료작위대조조（20례）；관찰기림상효과병분석비교。결과술후량조환자창면회복가，조간량점분변각、종합평분비교，차이유통계학의의（t=3.92、6.56），술후병발솔비교，차이유통계학의의（x2=10.23，P＜0.05）。결론역행제1장배근막체피판대치료무지창상교실용차수복효과만의，구유창상소、수술간단、안전성고등우점，가작위림상수선치료방식진행추엄응용。
Objective This paper is to investigate operation method and efficacy of first palm back fascia pedicle skin flap repair on reversely applied on thumb trauma surfaces. Methods Forty patients suffering from thumb trauma admitted by the inpatient department from October, 2010 to February, 2014 were selected as research subjects, and who were divided into two groups based on the different methods of treatment. Twenty patients reversely undergoing first palm back fascia pedicle skin flap repair were divided into the research group, and 20 patients undergoing pars dorsalis nerve nutrition blood vessel flap treatment of dorsal thumb were divided into the control group. Corresponding clinical efficacies were analyzed and observed. Results The recovery of postoperative trauma of patients in two groups was great, the two-point resolution and comprehensive score of patients in two groups satisfied t=3.92 and 6.56 respectively, and postoperative concurrent rate satisfied x2=10.23. The differences were statistically significant. Conclusion Reverse application of first palm back fascia pedicle skin flap repair becomes practical and delivers satisfactory effects, and it is featured with advantages including minor trauma, high safety and other strengths, being worthy of preferred treatment method to conduct promotion and application.