论文部分内容阅读
目的 探讨急诊显微手术修复手部皮肤逆行撕脱伤的疗效.方法 选取36例手部皮肤逆行撕脱伤的患者,按照随机数字表法将患者分为研究组和对照组,各18例.对照组患者给予皮瓣游离再回植治疗方法,研究组患者给予急诊显微手术修复的治疗方法.比较两组患者的临床疗效.结果 研究组有效率为94.44%,高于对照组的66.67%(x2=4.433,P<0.05);研究组手术时间、出血量、住院时间均优于对照组(t=-5.523、-4.889、-3.690,均P<0.05);研究组皮肤平均存活率为(95.54±4.21)%,高于对照组的(73.22±6.44)%(t=12.308,P<0.05);研究组皮肤恢复美观的例数比例为88.99%,高于对照组的66.67%(x2=4.985,P<0.05).结论 手部皮肤逆行撕脱伤患者采用急诊显微手术修复方法治疗,能够提高治疗的有效率,并能提高皮肤的存活率,有利于皮肤的恢复,可改善患者的手部功能及外观,临床效果显著,值得推广应用.“,”Objective To investigate the clinical efficacy and safety of emergency microsurgery repair for retrograde avulsion injury of hand skin.Methods 36 patients with retrograde avulsion injury of hand skin were randomly divided into research group and control group,18 cases in each group.The control group was treated with flap free re-implantation,and the research group was treated with emergency microsurgical repair.The clinical efficacy of the two groups was compared.Results The effective rate of the research group was 94.44%,which was higher than 66.67% of the control group(x2=4.433,P<0.05).The duration of operation,bleeding and hospitalization time in the study group were better than those in the control group(t=-5.523,-4.889,-3.690,all P<0.05).The survival rate of the research group was (95.54±4.21)%,which was higher than (73.22±6.44)% of the control group(t=12.308,P<0.05).The proportion of beautiful skin recovery of the research group was 88.99%,which was higher than 66.67% of the control group(x2=4.985,P<0.05).Conclusion Emergency microsurgery repair for patients with retrograde avulsion injury of hand skin can improve the efficacy of treatment and the survival rate of skin,which is beneficial to the recovery of skin,and can improve the function and appearance of the patients.The effect is remarkable,and it is worthy of popularization and application.