带蒂皮瓣Ⅰ期修复上肢软组织缺损的临床效果观察

Clinical Observation of Repairing Upper Limb Soft Tissue Defect withⅠStage Pedicled Flap

目的:探讨带蒂皮瓣Ⅰ期修复上肢软组织缺损的临床效果。方法:选取2008年9月-2010年9月本院收治的上肢软组织缺损患者60例作为研究对象,按软组织缺损部位不同分为手掌部组和手指部组,各30例。患者均采用带蒂皮瓣Ⅰ期修复手术。观察两组术后皮瓣成活的情况,术后进行随访,观察患者的皮瓣改变情况以及供受区的功能情况。结果:手掌部皮瓣的总成活率为96.67%,手指部为100%,两组比较差异有统计学意义(P<0.05)。治疗后两组患者的生活质量(心理功能和社会功能)较治疗前均有改善,比较均差异有统计学意义(P<0.05)。结论:在临床上,治疗软组织缺损时使用带蒂皮瓣Ⅰ期修复术能够有效地增加对患者的皮瓣成活率,改善患者的生活质量,疗效突出,值得推广。

Objective： To explore the clinical Observation of repairing upper limb soft tissue defect with I stage pedicled flap.Method： From September 2008 to September 2010, 60 patients with upper limb soft tissue defect were treated in our hospital, according to the different parts of soft tissue defect, they were divided into palm group and fingers group, 30 cases in each group.The patients underwent I stage repair with pedicle flap.The survival rate of the flaps was observed, the patients were followed up, observe the changes of the flaps and the functional status of the affected areas.Result： The survival rate of the palm group was 96.67% and the fingers group was 100%, the difference was statistically significant （ P〈0.05 ） .After treatment, the quality of life （ psychological function and social function ） in the two groups were improved than before, the differences were statistically significant （P〈0.05） .Conclusion： In the clinical treatment of soft tissue defect, I stage repair with pedicle flap can effectively increase the survival rate of skin flap, improve the quality of life of the patients, （ psychological and socialfunction）, curative effect is outstanding, worthy of promotion.