皮瓣移植修复手外伤组织缺损的临床效果观察

Clinical study of skin flap transplantation in repairing tissue defect of hand trauma

目的探讨研究皮瓣移植修复手外伤组织缺损的临床效果。方法选取我院2013年4月至2015年4月收治的67例手外伤组织缺损患者为研究对象,对所有患者均行皮瓣移植修复治疗,观察分析其临床效果。结果所有患者均移植成活,其中3例患者的皮瓣远端出现少许坏死情况,但用药后也成功愈合。随访6个月至2年发现共有58例患者对功能和外形恢复满意,占总数的86.6%;8例患者出现轻度皮瓣臃肿,占总数的11.9%;1例患者对外形恢复不满意,占总数的1.5%;外形恢复满意率显著高于不满意率,差异具有统计学意义(P<0.05)。结论皮瓣移植修复是治疗手外伤组织缺损的有效方法,临床上应当根据患者手部软组织缺损的具体情况而合理选择皮瓣进行移植,并加强对皮瓣血运情况的观察,指导患者做有效的功能锻炼,从而提高临床疗效,促进患者预后。

Objective To investigate the clinical effect of skin flap transplantation in repairing tissue defect of hand trauma. Methods Sixty-seven cases of hand trauma tissue defect patients in our hospital from April 2013 to April 2015 were selected as clinical study objects. All patients underwent flap transplantation treatment, and the clinical effect was observed and analyzed. Results All the patients were transplanted with success, and 3 patients had a little necrosis of the distal end of the skin flap and successfully healed after treatment. Followed up for 6 months to 2 years, a total of 58 cases of patients were satisfied with the appearance and function recovery, which was accounted for 86.6%; 8 cases of patients had mild flap bloated （11.9%）; 1 cases of patients was not satisfied with external shape recovery （1.5%）. The satisfactory appearance rate was significantly higher than the rate of dissatisfaction, and the differences in data with statistical significance （P〈0.05）. Conclusion Skin flap transplantation is an effective method for the treatment of tissue defect of hand trauma. Skin flap should be selected according to the specific circumstances of the patients with soft tissue defect of hand. In order to improve the curative effect on the prognosis of the patients, the clinician also should strengthen the observation of the nan blond supply and guide the patients to do effective functional exercise.