蒂部加宽加长指背岛状神经皮瓣修复手指软组织缺损的临床观察

Clinical observation of digital dorsal neural flap with widened lengthened pedicle to repair digital soft tissue defect

目的 分析蒂部加宽加长指背岛状神经皮瓣修复手指软组织缺损的临床疗效.方法 随机选取2012年8月-2015年8月收治的手指软组织缺损患者80例,依据随机数字表法将其分为两组,即观察组（n=40,50指）和对照组（n=40,50指）.给予对照组常规修复,给予观察组蒂部加宽加长指背岛状神经皮瓣修复.结果 观察组的皮瓣Ⅰ期成活率100.0％（50/50）,显著高于对照组68.0％（34/50） （P＜0.05）;坏死率0显著低于对照组16.0％（8/50） （P ＜0.05）;皮瓣两点辨别觉显著优于对照组（P＜0.05）;手指外观并发症发生率6.0％（3/50）,显著低于对照组14.0％（7/50） （P ＜0.05）;患指各关节功能优良率92.0％（46/50）,显著高于对照组72.0％（36/50） （P ＜0.05）.结论 蒂部加宽加长指背岛状神经皮瓣修复手指软组织缺损的临床效果显著,值得推广.

Objective To study the clinical effect of finger dorsal island nerve flap with lengthened and widened pedicle to repair soft tissue defect. Methods From August 2012 to August 2015, 80 cases in our hospital were randomly selected, according to random number table divided these cases into two groups, study group （n=40, 50） and control group （n= 40, 50）. The control group was given routine repair, treatment group was given the dorsal nerve lengthened and widened pedicle island flap. Results The flap survival rate was 100% （50/50） was significantly higher than the control group 68% （34/50） （P〈0.05）, the necrosis rate of 0 was significantly lower than the control group 16% （8/50）（P〈0.05）, the two-point discrimination was longer than the control group （P〈0.05）, the incidence of the finger appearance comphcations was 6% （3/50）, was significantly lower than the control group 14% （7/50）（P〈0.05）, the excellent rate of the joint function of 92% （46/50）, was significantly higher than the control group 72% （36/50） （P〈0.05）. Conclusion The clinical effect of the lengthened and widened pedicle dorsal island in repairing finger soft tissue defects is significant, it is worth popularization.