实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2015年
4期
103-104
,共2页
手指缺损%修复%皮瓣%比较%远期疗效
手指缺損%脩複%皮瓣%比較%遠期療效
수지결손%수복%피판%비교%원기료효
Finger defect%Repair%Flaps%Comparison%Long-term effect
目的：比较同指三种皮瓣修复指端（腹）缺损的中远期疗效，为指端（腹）缺损创面的皮瓣修复提供最佳选择。方法我院骨科2010年1月至2013年1月收治指端（腹）缺损患者90例，分别采用同指顺行指动脉神经蒂皮瓣修复（A 组）、中节指动脉背侧支筋膜蒂皮瓣修复（B 组）和近节指背侧指动脉皮瓣修复（C 组）各30例，平均随访2．5年，比较三组的皮瓣满意度等指标。结果三组患者对疗效均较满意，A 组实体综合感觉、畏寒病例数、出汗、供区情况等方面优于 B、C 组，差异均有统计学意义（P ＜0．05）；B 组畏寒指数小于 C 组，差异有统计学意义（P ＜0．05）；三组其它方面比较，差异均无统计学意义（P ＞0．05）。结论三种同指皮瓣均是修复指端（腹）缺损的可选方法，效果良好。综合各项指标对比，推荐按照同指顺行指动脉神经蒂皮瓣→中节指动脉背侧支筋膜蒂皮瓣→近节指背指动脉皮瓣的顺序选择。
目的：比較同指三種皮瓣脩複指耑（腹）缺損的中遠期療效，為指耑（腹）缺損創麵的皮瓣脩複提供最佳選擇。方法我院骨科2010年1月至2013年1月收治指耑（腹）缺損患者90例，分彆採用同指順行指動脈神經蒂皮瓣脩複（A 組）、中節指動脈揹側支觔膜蒂皮瓣脩複（B 組）和近節指揹側指動脈皮瓣脩複（C 組）各30例，平均隨訪2．5年，比較三組的皮瓣滿意度等指標。結果三組患者對療效均較滿意，A 組實體綜閤感覺、畏寒病例數、齣汗、供區情況等方麵優于 B、C 組，差異均有統計學意義（P ＜0．05）；B 組畏寒指數小于 C 組，差異有統計學意義（P ＜0．05）；三組其它方麵比較，差異均無統計學意義（P ＞0．05）。結論三種同指皮瓣均是脩複指耑（腹）缺損的可選方法，效果良好。綜閤各項指標對比，推薦按照同指順行指動脈神經蒂皮瓣→中節指動脈揹側支觔膜蒂皮瓣→近節指揹指動脈皮瓣的順序選擇。
목적：비교동지삼충피판수복지단（복）결손적중원기료효，위지단（복）결손창면적피판수복제공최가선택。방법아원골과2010년1월지2013년1월수치지단（복）결손환자90례，분별채용동지순행지동맥신경체피판수복（A 조）、중절지동맥배측지근막체피판수복（B 조）화근절지배측지동맥피판수복（C 조）각30례，평균수방2．5년，비교삼조적피판만의도등지표。결과삼조환자대료효균교만의，A 조실체종합감각、외한병례수、출한、공구정황등방면우우 B、C 조，차이균유통계학의의（P ＜0．05）；B 조외한지수소우 C 조，차이유통계학의의（P ＜0．05）；삼조기타방면비교，차이균무통계학의의（P ＞0．05）。결론삼충동지피판균시수복지단（복）결손적가선방법，효과량호。종합각항지표대비，추천안조동지순행지동맥신경체피판→중절지동맥배측지근막체피판→근절지배지동맥피판적순서선택。
Objective To compare the medium and long -term curative effect of preparing the finger tip pulp defects by three types of pedicle skin flap in order to provide the best choice for finger tip pulp reparation .Methods From Jan.2010 to Jan.2013,90 patients with finger tip pulp defects were administrated in our department .These patients were treated with three types of pedicle skin flaps,respectively.Group A (n=30) was repaired with finger artery anterograde flaps ,group B (n=30) with finger artery dorsal flaps of middle segment and group C (n=30) with finger artery dorsal flap of proximal finger .The patients were followed for 2.5 years and the satisfactions of the flaps were compared among the three groups .Results There are differences in stereognosis ,two point discrimi-nation,cases of chills,sweat,and appearance of the donor sites among the three groups (P <0.05).The difference in cases of chills between the group B and C was significant (P <0.05).No significant difference in other indexes was found among the three groups . Conclusion All the three types of flap can be used to repair the finger tip pulp defects with a good effect .However,the order of finger artery anterograde flap,finger artery dorsal flaps of middle segment and finger artery dorsal flaps of proximal finger was an optimal selec -tion based upon the comprehensive comparison of the indexes .
