不同皮瓣修复手外伤软组织缺损疗效比较
[关键词]手外伤;软组织缺损;皮瓣修复术;游离腹股沟皮瓣;临床疗效
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2021）11-0004-04
Comparison of Different Skin Flap in Repairing Soft Tissue Defects of Hand Injury
TANG Xin-cheng，LUO Xu-chao，ZOU Yong-gen
（Department of Hand Surgery，Affiliated Hospital of Traditional Chinese Medicine，Southwest Medical University，Luzhou 646000，Sichuan，China）
Abstract： Objective To observe the clinical effects of different skin flaps in repairing soft tissue defects of hand injury. Methods Clinical data of 120 patients with soft tissue defects of hand injury who were admitted and treated in the hospital from January 2018 to December 2019 were retrospectively analyzed. The subjects were divided into the observation group （n=65） and the control group （n=55） according to the treatment method. The observation group was treated with free inguinal flap repair， and the control group was treated with chest-abdominal pedicled flap repair. Healing time， application time of antibacterial drugs， hospital stay， clinical effects， blood flow velocity （BFV） around the defect， blood perfusion relative value （BPR） and incidences of complications were compared between the two groups. Results The healing time， application time of antibacterial drugs and hospital stay of observation group were shorter than those of control group， the differences were statistically significant （P
Key words： hand injury; soft tissue defect; flap repair; free inguinal flap; clinical efficacy
手部創伤是手部皮下组织、肌肉受到外力损伤。