显微外科手术治疗手部皮肤逆行撕脱伤的临床有效性及安全性观察

Observation of the clinical efficacy and safety of microsurgery in hand retrograde skin avulsion

目的探讨显微外科手术治疗手部皮肤逆行撕脱伤的效果。方法选取56例手部皮肤逆行撕脱伤患者为研究对象，采用数字表法随机分为研究组和对照组各28例，对照组采取皮瓣游离再回植治疗方法，研究组采取显微外科手术治疗方法，分析两组治疗效果。结果研究组总有效率为96．4％，显著高于对照组的78．6％（x2=4．082，P=0．043）。研究组皮肤平均存活率为（95．62±4．23）％，显著高于对照组的（73．20±6．48）％（t=15．331，P=0．000）。研究组皮肤指标显著优于对照组（x2=4．909，P=0．027）。结论手部皮肤逆行撕脱伤患者治疗中采用显微外科治疗方法能够最大程度恢复皮肤活力，改善患者手部外观和功能，提高治疗效果。

Objective To explore the clinical efficacy and safety of microsurgery in hand retrograde skin avulsion. Methods 56 patients with hand retrograde skin avulsion were selected and randomly divided into study group （ 28 cases） and control group （ 28 cases）. The study group was taken treatment of microsnrgery, the control group was taken treatment of free return FLAP treatment plant. The treatment effect of the two groups was compared. Results The total effective rate of the study group was 96.4%, which was significantly higher than 78.6% of the control group （x2 = 4. 082, P = 0. 043 ）. The average survival skin rate of the study group was （95.62 ± 4.23 ）%, which was significantly higher than （73.20 ± 6.48 ） % of the control group （ t = 15.331, P = 0. 000）. The skin index in the study group was significantly better than the control group （ x2 = 4. 909, P = 0. 027）. Conclusion Hand retrograde skin avulsion in patients using microsurgical treatment method can maximize recovery skin vitality and improve the appearance and function of the hand of patients, and improve the therapeutic effect.