常见带蒂皮瓣修复开放性手外伤892例的临床应用

Clinical Application of 892 Cases of Trauma Common Hand Pedicled Flap Open

目的探讨常见带蒂皮瓣修复开放性手外伤892例的临床应用效果。方法 2004年6月至2010年5月,采用推进、鱼际、邻指、交臂和髂腹股沟等常见带蒂皮瓣修复开放性手外伤。结果常见带蒂皮瓣修复术后治愈率高达99.78%。其中推进、鱼际、邻指和交臂皮瓣术后全部成活。仅2例髂腹股沟皮瓣修复发生术后部分缺血性坏死并发症,约占0.22%。结论常见带蒂皮瓣术后治愈率高,保留患指长度,降低了伤残等级;具有一定的临床实用参考价值;部分县、厂矿和乡镇基层医疗单位可广泛推广应用。

Objective To explore the common pedicle flap from an open hand injury clinical effect of 892 cases. Methods From June 2004 to May 2010, by promoting, thenar, o refers to cross arm and groin, and other common pedicle flap from opening 892 cases of hand injury patients. Results The common use of pedicle flap for treatment of open hand injury cure of 99.78% of patients. One forward, thenar, o-refer to and cross-arm flaps all survived. Only two cases of postoperative groin flap complications of ischemie necrosis, or about 0.22%. Conclusion The common pedicle flap high cure rate risk refers to the length of retention, reducing the level of disability, have some practical clinical reference value; part of the county, township factories, mines and primary health care units can be widely used.