拇指皮肤软组织缺损皮瓣修复方法的临床选择初论

Thumb Flap of Skin and Soft Tissue Defects Early on the Clinical Selection Method

目的:探讨拇指皮肤软组织缺损皮瓣修复的方法及效果。方法:选取近2年来本院接收的60例拇指皮肤软组织缺损患者作为研究对象,以治疗方式的不同将其分为观察组、研究组和对照组三组,每组20例,观察组患者行游离皮瓣修复治疗,研究组患者行局部皮瓣修复治疗,对照组患者行带蒂修复治疗,比较三组患者的治疗效果。结果:观察组患者的治疗优良率为80.0%,研究组为75.0%,对照组为85.0%,三组患者的治疗优良率比较差异无统计学意义(P>0.05)。结论:拇指皮肤软组织缺损患者行皮瓣修复治疗时,应以患者拇指缺损程度及医疗水平为依据选择最佳修复方法,尽可能恢复患者拇指功能及外观。

Objective：To explore the method and effect of skin and soft tissue defect of thumb flap repair. Method：60 cases of skin and soft tissue defect of thumb were selected in our hospital in recent two years received as the research object, with the different treatments will be divided into the observation group, the study group and the control group three groups, 20 cases in each group, the observation group underwent free skin flap in repairing treatment, study group treated with flap repair treatment, the control group underwent pedicled repair treatment, the treatment of patients with three groups.Result：The results of this study show that the observation of patients in the treatment group the excellent and good rate was 80.0%, the treatment of patients in the study group the excellent and good rate was 75.0%, control group was treated with the excellent and good rate was 85.0%; three patients in treatment group had no significant difference compared to the excellent rate （P〉0.05）, no statistical significance.Conclusion：Skin and soft tissue defect of thumb withskin flap repair treatment should be to patients with thumb defect degree and medical level as a basis to choose the best method to repair, as far as possible to restore the function of the thumb and the appearance of the patients.