早期应用踇甲皮瓣修复拇指毁损性电烧伤的临床研究

Clinical study of early application of toe flap to repair thumb damaged electrical burns

目的研究拇指毁损性电烧伤后,早期应用晦甲皮瓣修复后的手指功能恢复情况。方法 2007年7月至10月共行25例拇指电烧伤后早期应用踇甲皮瓣移植修复,从术后手指功能等方面综合评价,并对比伤后72 h前、后手术的效果。结果术后随访12～18(15±3)个月,皮瓣全部成活,25例手指综合评分优良率72%,伤后72 h前、后手术的优良率分别为85.7%、54.5%。术后出现伤口不良并发症5例,伤后72 h以内手术1例,72 h以后手术4例,差异有统计学意义(P<0.05)。结论拇指毁损性电烧伤早期应用踇甲皮瓣修复,能最大限度恢复拇指功能,并且越早期手术并发症越少,修复效果越好。

ObjectiveTo study the surgery effect on early application of toe flap to repair thumb severe electric burn.MethodsFrom July 2007 to October 2017, a total of 25 cases of thumb severe electric burn were repaired by thumb toe flap grafting. The function of the finger after operation was evaluated comprehensively, and the effect of 72 hours before and after the injury was compared.ResultsAll the flaps survived and the finger function was excellent. The excellent and good rate of 25 cases was 72%. The excellent and good rate of 72 hours before and after injury were 85.7% and 54.5% respectively. 5 cases had bad wound complications after operation. 1 cases were operated within 72 hours after injury, and 4 cases were operated after 72 hours.ConclusionsThe early application of toe flap to repair severe electric burn thumb can maximize the recovery of function of the thumb . The earlier the operation, the fewer complications, the better the repair effect.