指背筋膜蒂皮瓣修复指端组织缺损的临床应用

Clinical Application of Repairing Finger End Tissue Defect with Dorsal Fascial Pedicle Flap

目的:探讨指背神经筋膜蒂皮瓣修复指端组织缺损的临床应用。方法:选取2013年3月~2015年9月经某院收治的指端组织缺损的患者60例,随机分为两组,研究组采用指背筋膜蒂皮瓣修复,而对照组采用局部皮瓣转移的方法进行手术,对比两组患者皮瓣深浅感觉和两点辨别觉等指标。结果:研究组浅感觉、深感觉、7~10mm两点辨别觉和4~6mm两点辨别觉均显著优于对照组(P<0.05)。结论:应用指背筋膜蒂皮瓣修复指端组织缺损是目前非常简便有效的方法,有利于改善患者的皮瓣修复质量,提高患者术后恢复效果,临床上应当进一步推广应用。

Objective： To explore the clinical application of repairing finger end tissue defect with dorsal fascial pedicle flap. Methods： 60 patients with finger end tissue defect treated in a hospital from March 2013 to September 2015 were selected and randomly divided into 2 groups, the research group was treated with dorsal fascial pedicle flap, while the control group adopted the method of local skin flap transfer for the pro cedure. Compared two groups of patients with superficial and two points of discrimination. Results： In the study group, superficial sensation, deep sensation, 7~10mm two point discrimination and 4~6mm discrimi nation were significantly superior to those in the control group （P^0.05）. Conclusion： It is a simple and ef fective method to repair the defect of fingertip tissue with the dorsal fascial pedicle flap, it can ameliorate the quality of skin flap repair, improve the postoperative recovery of patients, clinical application should be fur ther popularized.