中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
21期
73-74
,共2页
桡神经浅支营养血管皮瓣%虎口挛缩%修复%功能锻炼
橈神經淺支營養血管皮瓣%虎口攣縮%脩複%功能鍛煉
뇨신경천지영양혈관피판%호구련축%수복%공능단련
Superficial branch of radial nerve nutrient vessel skin flap%Contracture of the first web space%Repair%Functional exercise
目的：探讨应用桡神经浅支营养血管皮瓣治疗虎口挛缩的方法和效果。方法选取该院自2012年8月-2013年8月收治的34例虎口挛缩患者为研究对象，应用桡神经浅支营养血管皮瓣治疗。结果34例虎口挛缩患者皮瓣全部成活；术后随访6个月~1年，优良率达85.3%；治疗后患者虎口宽度和虎口角度分别为（44.5±1.5）mm，(84.5±1.0)°，优于治疗前的（17.5±1.0）mm，（18.5±2.0）°（P<0.05）。结论应用桡神经浅支营养血管皮瓣能有效治疗虎口挛缩，皮瓣成活率高，患者手功能恢复情况良好，但同时还应当注意做好虎口挛缩复发因素的早期预防。
目的：探討應用橈神經淺支營養血管皮瓣治療虎口攣縮的方法和效果。方法選取該院自2012年8月-2013年8月收治的34例虎口攣縮患者為研究對象，應用橈神經淺支營養血管皮瓣治療。結果34例虎口攣縮患者皮瓣全部成活；術後隨訪6箇月~1年，優良率達85.3%；治療後患者虎口寬度和虎口角度分彆為（44.5±1.5）mm，(84.5±1.0)°，優于治療前的（17.5±1.0）mm，（18.5±2.0）°（P<0.05）。結論應用橈神經淺支營養血管皮瓣能有效治療虎口攣縮，皮瓣成活率高，患者手功能恢複情況良好，但同時還應噹註意做好虎口攣縮複髮因素的早期預防。
목적：탐토응용뇨신경천지영양혈관피판치료호구련축적방법화효과。방법선취해원자2012년8월-2013년8월수치적34례호구련축환자위연구대상，응용뇨신경천지영양혈관피판치료。결과34례호구련축환자피판전부성활；술후수방6개월~1년，우량솔체85.3%；치료후환자호구관도화호구각도분별위（44.5±1.5）mm，(84.5±1.0)°，우우치료전적（17.5±1.0）mm，（18.5±2.0）°（P<0.05）。결론응용뇨신경천지영양혈관피판능유효치료호구련축，피판성활솔고，환자수공능회복정황량호，단동시환응당주의주호호구련축복발인소적조기예방。
Objective To explore the method of application of superficial branch of radial nerve nutrient vessel skin flap for the treatment of contracture of the first web space and its effect. Methods 34 patients with contracture of the first web space admitted in our hospital from August 2012 to August 2013 were selected as the subjects, and treated by superficial branch of radial nerve nutrient vessel skin flap. Results All the skin flaps of the 34 patients with contracture of the first web space survived. The pa-tients were followed up for 6 months to 1 year, the excellent and good rate reached 85.3%. After treatment, the width and angle of the patients' contracture of the first web space was (44.5±1.5) mm, (84.5±1.0)°, better than (17.5±1.0)mm, (18.5±2.0)° before treat-ment (P<0.05). Conclusion Superficial branch of radial nerve nutrient vessel skin flap can effectively treat contracture of the first web space, the flap survival rate is high, the hand function recovery in patients is good, but at the same time the early prevention of the recurrence factors of contracture of the first web space should also be paid attention.
