穿支皮瓣修复治疗手外伤软组织缺损的临床效果分析

Clinical Effect of Perforator Flap in the Treatment of Soft Tissue Defect of Hand Injury

目的研究穿支皮瓣修复治疗手外伤软组织缺损的临床效果。方法选取106例手外伤软组织缺损患者作为研究对象,根据其自身意愿分为对照组和观察组,各53例。对照组采用胸腹带蒂皮瓣修复术,观察组采用穿支皮瓣修复。对比优良率及术后不良反应发生率。结果观察组优良率(92.45%)高于对照组(64.15%),术后不良反应发生率(1.89%)低于对照组(24.53%),组间对比差异具有统计学意义(P<0.05)。结论在手外伤软组织缺损治疗中采用穿支皮瓣修复术临床效果显著,可有效减少术后不良反应发生,具有较高临床推广价值。

Objective To study the clinical effect of perforator flap repair on hand soft tissue defect.Methods A total of 106 cases of hand soft tissue defects were selected as study subjects and divided into control group and observation group according to their own wishes,with 53 cases in each group.The control group was treated with thoracoabdominal flap pedicel flap repair,and the observation group was treated by perforator flap flap repair.The good rate and incidence of adverse reactions of two groups were compared.Results The excellent and good rate(92.45%)in the observation group was higher than that in the control group(64.15%),the incidence of postoperative adverse reactions was 1.89%,which was lower than that in the control group(24.53%),the difference between the two groups was statistically significant(P<0.05).Conclusion The clinical effect of perforator flap repair in the treatment of hand soft tissue defect is significant,which can effectively reduce the postoperative adverse reactions and has a high clinical value.