摘要
目的：观察前臂背侧骨间动脉逆行岛状皮瓣修复手部皮肤软组织缺损的临床疗效。方法选择本院2013年1月~2014年5月收治的65例手部皮肤软组织缺损患者为研究对象，均接受皮瓣修复治疗，其中前臂背侧骨间动脉穿支逆行岛状皮瓣修复35例，为观察组，任意型皮瓣修复30例，为对照组，比较两组皮瓣存活率、手功能恢复、并发症及手术前后VAS（视觉模拟评分法）评分情况。结果观察组皮瓣存活率、并发症发生率分别为100.00%、2.86%，与对照组的86.67%、20.00%比较，差异有统计学意义（P〈0.05）。观察组和对照组术后3 d的VAS评分分别为（7.38±0.45）、（8.11±0.57）分，15 d的VAS评分分别为（4.52±0.23）、（6.65±0.34）分，差异有统计学意义（P〈0.05）。术后随访6个月，两组患者手功能优良率比较，差异无统计学意义（P〉0.05）。结论前臂背侧骨间动脉穿支逆行岛状皮瓣修复术具有皮瓣存活率高、减轻患者疼痛、并发症少等特点，可作为手部皮肤软组织缺损治疗有效手段。
Objective To observe the clinical effect of forearm posterior interosseous artery flap on repair of hand skin and soft tissue defect with reverse island. Methods 65 patients with hand skin and soft tissue defect in our hospital from January 2013 to May 2014 were selected as research objects.They were provided with skin flap repair.Among them,35 cases undergone forearm posterior interosseous artery flap with reverse island were classified into observation group,and the rest treated by random forearm flap were categorized into control group.The survival rate of skin flap,re-covery of hand function,occurrence of complications,and score of visual analogue scale （VAS） before and after surgery between two groups was compared respectively. Results The survival rate of skin flap and incidence of complications in observation group were 100.00% and 2.86%,while in control group,the rates were 86.67% and 20.00%,with statistical difference（P〈0.05）.Three and fifteen days after surgeries,scores of VAS were[7.38±0.45 and 8.11±0.57] and [4.52±0.23 and 6.65±0.34] between two groups,with statistical difference （P〈0.05）.In addition, there was no significant difference in excellent and good rate of recovery of hand functions between two groups （P〉0.05）. Conclusion At advantages of high survival rate of skin flap,alleviation of patient’s suffering,and few complications,forearm posterior interosseous artery flap repair with reverse island is considered as an effective means on treating hand skin and soft tissue defect.
出处
《中国当代医药》
2015年第16期30-32,共3页
China Modern Medicine
基金
广东省深圳市龙华新区社会公益科研项目(2013044)
