| 吴礼府,廖士平,李思玮,等.顺行指动脉旋转推进皮瓣对指端组织缺损修复效果及安全性分析[J].安徽医药,2019,23(3):557-560. |
| 顺行指动脉旋转推进皮瓣对指端组织缺损修复效果及安全性分析 |
| Analysis of the effect and safety of anterograde digital artery rotation on fingertip tissue defect |
| 投稿时间：2017-04-18 |
| DOI： |
| 中文关键词: 顺行指动脉旋转推进皮瓣修复术治疗指端组织缺损效果显著,促进指关节功能恢复,且安全性较高,值得在临床推广应用。 关键词:顺行指动脉旋转推进皮瓣修复术 指端组织损伤 治疗效果 安全性 |
| 英文关键词: Anterograde digital artery rotation repair Fingertip tissue injury Therapeutic effect Safety |
| 基金项目: |
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| 摘要点击次数: 2024 |
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| 中文摘要: |
| 目的 探讨顺行指动脉旋转推进皮瓣对指端组织缺损修复效果及安全性。 方法 选择2015年9月至2017年3月在池州市人民医院进行指端组织缺损修复的病人21例,采取指动脉顺行旋转推进皮瓣修复术,并与池州市人民医院以往进行指动脉逆行岛状皮瓣修复术病人进行对比。比较两组病人手术情况、治疗效果、指关节功能恢复情况及术后不良事件发生情况。 结果 两组病人手术时间、术中出血量比较差异无统计学意义(P>0.05)；术后张力性水疱及皮瓣远端坏死发生率比较差异无统计学意义(P>0.05)。随访6~12月,对照组治疗效果优良率为65.38%,观察组治疗效果优良率为96.15%,观察组治疗效果明显优于对照组(P<0.05)。随访6~12月,观察组术后指关节功能恢复情况明显优于对照组,差异有统计学意义(P<0.05)。对照组术后不良事件发生率为38.46%,观察组术后不良事件发生率为19.23%,观察组不良事件发生风险低于对照组,但差异无统计学意义(P>0.05)。 |
| 英文摘要: |
| Objective To analyse the effect and safety of anterograde digital artery rotation on fingertip tissue defect. Methods From September 2015 to March 2017,1 cases of fingertip defect repair patients were studied in our hospital.According to the simple random method,the patients were divided into the observation group,treated by antegrade rotation of artery repair,and the control group,treated by reversed island flap of the digital artery.The operation,treatment effect,joint function recovery and postoperative adverse events were compared between the two groups. Results There was no significant difference in operative time and blood loss between the two groups (P>0.05),and there was no significant difference in the incidence of postoperative tension blisters and distal necrosis (P>0.05).The two groups of patients were followed up for 6-12 months,the excellent and good rate of the treatment group was 65.38%,which of the observation group was 96.15%,superior to the control group (P<0.05).The recovery of joint function in the observation group was significantly better than that in the control group,with statistically significant difference (P<0.05).The rate of postoperative adverse events in the control group was 38.46% while 19.23% in the observation group,however,the difference was not statistically significant (P>0.05). Conclusions Anterograde digital artery rotation repair,an effective method for the treatment of fingertip tissue defects,which can promote the recovery of joint function and has high safety,is worthy of clinical application. |
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