CAJ | 학술논문

目的：研究与分析不同皮瓣修复术治疗手外伤软组织缺损修复患者临床疗效。方法：选择76例手外伤软组织缺损修复患者按照采用皮瓣差异性分组为观察组和对照组。对照组采用胸腹带蒂皮瓣修复术治疗；观察组采用穿支皮瓣修复法治疗。观察2组患者临床治疗优良率和并发症及愈合时间、IL-6、IL-8、TNF、LPS水平等。结果：治疗后，观察组IL-6、IL-8、TNF、LPS水平明显低于对照组。观察组优良率明显高于对照组，观察组患者平均愈合时间、抗菌药物使用时间明显短于对照组，观察组患者组织病理学评分明显高于对照组。结论：采用穿支皮瓣修复法治疗手外伤软组织缺损修复患者可改善其炎性介质及细胞因子，降低并发症发生，缩短愈合时间，提高治疗效果。
목적：연구여분석불동피판수복술치료수외상연조직결손수복환자림상료효。방법：선택76례수외상연조직결손수복환자안조채용피판차이성분조위관찰조화대조조。대조조채용흉복대체피판수복술치료；관찰조채용천지피판수복법치료。관찰2조환자림상치료우량솔화병발증급유합시간、IL-6、IL-8、TNF、LPS수평등。결과：치료후，관찰조IL-6、IL-8、TNF、LPS수평명현저우대조조。관찰조우량솔명현고우대조조，관찰조환자평균유합시간、항균약물사용시간명현단우대조조，관찰조환자조직병이학평분명현고우대조조。결론：채용천지피판수복법치료수외상연조직결손수복환자가개선기염성개질급세포인자，강저병발증발생，축단유합시간，제고치료효과。
ObjectiveResearch and analysis of different skin flap for the repair of hand injury repair of soft tissue defect in patients with clinical efficacy.MethodsSelect 76 cases of soft tissue defects hand injury patients grouped according to differ-ences in the use of flaps for the observation group and the control group. The control group was abdominal pedicle flap treat-ment; observation group perforator flap Therapy. Group 2 patients were observed clinically excellent rate and complications and healing time, IL-6, IL-8, TNF, LPS level and so on.Results After treatment, the observation group IL-6, IL-8, TNF, LPS levels compared with control group. Excelent observation group was significantly highe. Two groups of patients the incidence of complications and the average healing time, antimicrobial drug use time, histopathological scores.Conclusion Treatment of hand trauma repair soft tissue defect of patients can be improved inflammatory mediators and cytokines of patients with perfora-tor flap repair method, reduce complications, shorten the healing time, improve the therapeutic effect.