逆行岛状筋膜蒂指背皮瓣修复同指指端缺损的临床分析

Retrograde Island Fascia Refers to Clinical Analysis With Fingertip Defect Back Flap

目的对应用同指逆行岛状筋膜蒂指背皮瓣修复技术对患有指端缺损疾病的患者实施治疗的临床效果进行研究。方法选择在该院2012年8月—2014年8月就诊的患有指端缺损疾病的患者90例,随机分为对照组和治疗组,平均每组45例。采用腹部带蒂皮瓣技术对对照组患者实施治疗;采用同指逆行岛状筋膜蒂指背皮瓣修复技术对治疗组患者实施治疗。结果治疗组患者手部功能恢复正常时间(50.24±7.68)d和缺损修复治疗计划实施总时间(12.25±3.44)d明显短于对照组(74.92±10.64)、(17.59±4.51)d;指端缺损疾病治疗效果(总有效率93.4%)明显优于对照组(总有效率75.6%);在手术修复治疗的围术期出现不良反应的人数(1例)明显少于对照组(8例)。结论应用同指逆行岛状筋膜蒂指背皮瓣修复技术对患有指端缺损疾病的患者实施治疗的临床效果非常明显。

Objective To apply the same finger dorsal island fasciocutaneous pedicle flap technique clinical effects of treatment for patients suffering from diseases of the implementation of fingertip defect research.Methods In our hospital from2012 August to 2014 August suffering from fingertip defect disease 90 patients were randomly divided into control and treatment groups, with an average 45 cases in each group. Abdominal pedicle flap technique using the control group for patients with treatment; using the same means of retrograde dorsal fascia island flap technique in patients treated with the implementation of treatment.Results The number of adverse reactions in the perioperative treatment of surgical repair; hand function in patients treated with normal time and defect treatment plan to implement total time was significantly shorter than the control group; fingertip defect disease treatment is better than the control group; the results significantly less than the control group.Conclusion The same refers to the dorsal fascia retrograde island flap technique for patients suffering from diseases of fingertip defect implementation of clinical treatment effect is very obvious.