摘要
目的分析手外伤软组织缺损患者游离皮瓣修复术治疗失败的因素。方法选取2017年5月至2019年5月本院收治的319例手外伤软组织缺损患者作为研究对象,所以患者均接受游离皮瓣修复术治疗,总结手术治疗情况,分析治疗失败的因素。结果治疗后,42例患者手术失败,失败率为13.17%;单因素分析显示,吻合血管选择不合理、术中止血差、无术前计划评价、感染、固定不牢固、血清前白蛋白降低均可增加手术失败风险,且上述因素均为独立危险因素(P<0.05)。结论导致游离皮瓣修复术治疗手外伤软组织缺损失败的危险因素较多,如术中止血不佳、吻合血管选择不适宜、术前未进行计划评价等,为避免治疗失败,应在治疗时加强对危险因素的重视及控制,以提高治疗效果。
Objective To analyze the risk factors of treatment failure of free flap repair in patients with hand trauma and soft tissue defects.Methods 319 patients with hand trauma and soft tissue defects admitted to our hospital from May 2017 to May 2019 were selected as the research subjects.All patients received free flap repair treatment.The surgical treatment was summarized and the factors of treatment failure were analyzed.Results After treatment,42 patients failed the operation,and the failure rate was 13.17%;univariate analysis showed that improper selection of anas-tomotic vessels,incomplete intraoperative hemostasis,no preoperative evaluation,infect,infirm fixation,and decreased serum prealbumin can all in-crease the risk of surgical failure,and the above factors were all independent risk factors(P<0.05).Conclusion There are many risk factors that lead to the failure of free flap repair in the treatment of soft tissue defects in hand trauma,such as poor intraoperative hemostasis,inappropriate selec-tion of anastomotic vessels,and failure to evaluate the plan before surgery.In order to avoid treatment failures,it is necessary to strengthen treatment during treatment.Attention and control of risk factors,to improve the treatment effect.
作者
陈金家
张普
景向
方莎莎
王建斌
CHEN Jinjia;ZHANG Pu;JING Xiang;FANG Shasha;WANG Jianbin(The Second Hospital of China Railway Erju group,Pizhou City,Jiangsu Province,Pizhou,Jiangsu,221300,China)
出处
《当代医学》
2021年第24期69-71,共3页
Contemporary Medicine
