摘要
目的探讨游离动脉化静脉皮瓣修复手指皮肤缺损的有效性。方法选取2017年4月~2019年4月间在我院收治的手指皮肤缺损患者102例,随机分成研究组和对照组,每组51例,对照组采用手指动脉岛状皮瓣进行修复,研究组采用游离动脉化静脉皮瓣进行修复。观察并比较两组患者临床疗效、手部功能恢复水平及感觉功能恢复、疼痛敏感和手指麻木情况。结果研究组总有效率高于对照组(P<0.05);研究组手部功能恢复水平优于对照组(P<0.05);研究组感觉功能恢复情况高于对照组(P<0.05),且疼痛敏感及手指麻木情况低于对照组(P<0.05)。结论手指皮肤缺损患者采用游离动脉化静脉皮瓣修复术治疗效果较为理想,因其操作便易且伤害小,可增强皮瓣成活的几率,临床可推广使用。
Objective To investigate the effectiveness of free arterialized venous flap in repairing finger skin defects.Methods A total of 102 patients with finger skin defects in our hospital from April 2017 to April 2019 were randomly divided into the study group(n=51) and the control group(n=51). The control group was treated with finger artery island flap for repair and the study group was treated with free arterialized venous flap for repair. The clinical efficacy, recovery of hand function, sensory function recovery, pain sensitivity and finger numbness were compared between the two groups. Results The total effective rate of the study group was higher than that of the control group(P<0.05). The recovery of hand function in the study group was better than that of the control group(P<0.05). The recovery of sensory func tion in the study group was higher than that of the control group(P<0.05). The incidence of pain sensitivity and numbness of the fingers in the study group was lower than that of the control group(P<0.05). Conclusion The treatment of free arterialized venous flap repair for patients with finger skin defect has ideal effect. Because of its easy operation and less damage,it can enhance the survival rate of flaps and can be used clinically.
作者
郑力文
李波
ZHENG Liwen;LI Bo(Department of Burn and Plastic Surgery,the First People's Hospital of Hengyang City in Hu'nan Province,Hengyang421002,China)
出处
《中国现代医生》
2020年第3期43-46,共4页
China Modern Doctor
