经指固有动脉终末背侧皮支岛状皮瓣对手指末节软组织缺损合并骨质外露患者的修复作用分析

Study the Refers to the Inherent Artery Island Flaps from Middle and Terminal Dorsal Cutaneous Branches of Small Finger Soft Tissue Defect

目的：研究探讨经指固有动脉终末背侧皮支岛状皮瓣对手指末节软组织缺损合并骨质外露患者的修复作用.方法：回顾分析我院自2010年～2014年收治的128例手指末节软组织缺损合并骨质外露的患者的临床治疗资料,根据患者手指修复方式的不同分为邻指皮瓣修复组（对照组）58例和经指固有动脉终末背侧皮支岛状皮瓣修复组（观察组）70例.比较2组患者的手指修复效果以及患者对于手指外形的满意度.结果：2组患者手指最终均修复成功,但观察组患者首次成活率为97.14％,显著高于对照组的74.14％;随访后,观察组患者手指ADL评分以及2pd均显著高于对照组;观察组患者手指外形恢复更好,对手指恢复的满意度为97.14％,显著高于对照组的70.69％,差异存在统计学意义（均P〈0.05）.结论：经指固有动脉终末背侧皮支岛状皮瓣对于手指末节软组织缺损合并骨质外露的修复效果良好,不仅外观恢复好,ADL评分和2pd也较高,还能提高患者的满意度,操作简便,实用性强,值得临床推荐.

Objective： To study the refers to the inherent artery island flaps from middle and terminal dorsal cutaneous branches of small finger soft tissue defect combined repair function of patients with bone exposed. Methods： Retrospective analysis of our hospital from 2010-2014 treated 128 cases of small finger soft tissue defect combined with exposed bone in patients with clinical data, according to the patients divided into adjacent finger repair mode refers to the skin flap to repair group of 58 cases （control group） and the terminal refers to the inherent artery dorsal cutaneous branches island flap to repair group, 70 cases （observation group）. Finger repair effect, and compared two groups of patients satisfaction for finger shape. Results： Ultimately, two groups of patients with finger repair success, but the observation group of patients survival rate was 97.14％ for the first time, significantly higher than that of control group 74.14％; After follow-up, observation group of patients with finger ADL scores and 2 pd were significantly higher than the control group; Finger recover better appearance, observation group patients on finger recovery satisfaction was 97.14％, significantly higher than that of control group 70.69％, there was statistical significance difference （P 〈 0.05）. Conclusion： Refers to the inherent artery island flaps from middle and terminal dorsal cutaneous branches details for finger soft tissue defect combined with exposed bone repair effect is good, good appearance not only recover, ADL scores and 2 pd is higher also, also can improve the satisfaction of patients, simple operation, strong practicability, worth clinical recommendations.