[1]朱家平,宗鹏飞,彭柳飞.吻合神经的指侧方皮支皮瓣修复手指远端创面的疗效[J].医学信息,2021,34(19):127-129.[doi:10.3969/j.issn.1006-1959.2021.19.033]
　ZHU Jia-ping,ZONG Peng-fei,PENG Liu-fei.The Effect of Lateral Cutaneous Branch Chain Flap of AnastomosisNerve Repairing Distal Finger Wound[J].Medical Information,2021,34(19):127-129.[doi:10.3969/j.issn.1006-1959.2021.19.033]
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吻合神经的指侧方皮支皮瓣修复手指远端创面的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年19期
页码:
127-129
栏目:
临床研究
出版日期:
2021-10-01

文章信息/Info

Title:
The Effect of Lateral Cutaneous Branch Chain Flap of AnastomosisNerve Repairing Distal Finger Wound
文章编号:
1006-1959（2021）19-0127-03
作者:
朱家平; 宗鹏飞; 彭柳飞
抚州市东乡区人民医院骨科，江西 抚州 331800
Author(s):
ZHU Jia-ping; ZONG Peng-fei; PENG Liu-fei
Department of Orthopedics,People’s Hospital of Dongxiang District,Fuzhou 331800,Jiangxi,China
关键词:
吻合神经; 指侧方皮支皮瓣修复; 手指远端缺损
Keywords:
Anastomosis nerve; Lateral Cutaneous Branch Chain Flap; Distal finger defect
分类号:
R681.7
DOI:
10.3969/j.issn.1006-1959.2021.19.033
文献标志码:
A
摘要:
目的 观察吻合神经的指侧方皮支皮瓣修复手指远端缺损创面的临床疗效。方法 选取2020年6月-2021年3月在我院治疗的44例手指远端缺损患者为研究对象，采用随机数字表法分为对照组和观察组，各22例。对照组采用指背皮神经营养血管皮瓣修复，观察组采用吻合神经的指侧方皮支皮瓣修复，比较两组皮瓣存活率、患指功能恢复优良率、术后恢复指标（水泡、淤紫、臃肿、耐寒性差、无痛性瘢痕）发生率、疼痛度、皮瓣满意度。结果 观察组皮瓣存活率为100.00%，高于对照组的95.45%，但差异无统计学意义（P＞0.05）；观察组患指功能恢复优良率为90.90%，高于对照组的77.27%，差异有统计学意义（P＜0.05）；观察组水泡、淤紫、臃肿、耐寒性差发生率均低于对照组，差异有统计学意义（P＜0.05）；两组痛性瘢痕发生率、疼痛评分比较，差异无统计学意义（P＞0.05）；观察组皮瓣满意度为95.45%，高于对照组的81.81%，差异有统计学意义（P＜0.05）。结论 吻合神经的指侧方皮支皮瓣修复手指远端创面效果确切，可提高患肢功能恢复优良率，降低术后水泡、淤紫、臃肿等发生率，提高皮瓣满意度，应用有效性和安全性良好，是一种修复手指远端创面良好方法。
Abstract:
Objective To observe the clinical effect of lateral cutaneous branch chain flap of anastomosis nerve repairing distal finger wound.Methods A total of 44 patients with distal finger wound in our hospital from June 2020 to March 2020 were selected as research objects, randomly divided into control group and observation group with 22 cases each. The control group was repaired with the dorsal cutaneous nerve of fingers nutrient vessel skin flap repairing, and the observation group was repaired with lateral cutaneous branch chain flap of anastomosis nerve, the survival rate of skin flap, excellent and good rate of finger function recovery, the incidence of postoperative recovery index (blisters, bruises, swelling, poor cold resistance, painless scar), pain and satisfaction of skin flap were compared between the two groups.Results The survival rate of flap in the observation group was 100.00%, which was higher than 95.45% of the control group, but the difference was not statistically significant(P>0.05); the excellent and good rate of functional recovery of the observation group was 90.90%, which was higher than 77.27% of the control group, and the difference was statistically significant(P<0.05); the incidence of blisters, bruises, bloats and poor cold resistance in the observation group were lower than those of the control group, and the difference was statistically significant(P<0.05), while there was no significant difference in the incidence of painless scar and pain score between the two groups (P>0.05); and the satisfactory degree of skin flap in the observation group was 95.45%, which was higher than 81.81% of the control group, and the difference was statistically significant(P<0.05).Conclusion The lateral cutaneous branch chain flap of anastomosis nerve repairing distal finger wound is effective, which can improve the excellent and good rate of functional recovery for affected limbs, reduce the incidence of blisters, bruises and swelling, and improve the satisfaction of the flap, the utility model has good effectiveness and safety, and is a good method for repairing distal finger wound.

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更新日期/Last Update: 1900-01-01