腹部超薄皮瓣在手部撕脱伤治疗中的效果研究

The study of the effect of abdominal super thin skin flap in the treatment of hand avulsion

目的：探讨腹部超薄皮瓣在手部撕脱伤治疗中的效果。方法：选取2005年1月~2009年10月于我院进行治疗的44例手部撕脱伤患者为研究对象,将其随机分为A组（腹部超薄皮瓣组）22例和B组（腹部袋状皮瓣组）22例,后将两组患者的治疗总有效率、手部活动度、患者满意率及并发症发生率进行统计及比较。结果：A组的治疗总有效率及患者满意率均高于B组,并发症发生率低于B组,手指活动度优于B组,两组比较,差异均有统计学意义（均P〈0.05）。结论：腹部超薄皮瓣在手部撕脱伤治疗中的效果较好,值得临床推广应用。

Objective： To study the effect of abdominal super thin skin flap in the treatment of hand avulsion.Methods： 44 patients with hand avulsion in our hospital from January 2005 to October 2009 were selected as research objects,and they were randomly divided into group A（abdominal super thin skin flap group） 22 cases and group B（abdominal marsupial skin flap group） 22 cases,then the total effective rate,active degree of hand,satisfaction rate and complication rate of the two groups were analyzed and compared.Results： The total effective rate and satisfaction rate of the group A were higher than those of group B,complication rate was lower than that of group B,active degree of hand was better than those of group B,there were significant differences in two groups（P0.05）.Conclusion： The effect of abdominal super thin skin flap is better in the treatment of hand avulsion,and is worthy of popularization and application.