穿支皮瓣术、胸腹部带蒂皮瓣修复术对手外伤软组织缺损的治疗

Comparison of the Effect of Percutaneous Flap and Chest and Abdomen Pedicle Flap Repair on Soft Tissue Defect of Hand Injury

目的:探究在手外伤软组织缺损治疗时,应用穿支皮瓣术与胸腹部带蒂皮瓣修复术治疗的效果。方法:以2015年3月-2018年2月68例手外伤软组织缺损患者作为研究对象,按照随机方法将患者分为对照组(胸腹部带蒂皮瓣修复术)和观察组(穿支皮瓣术)。结果:治疗后观察组IL-6、IL-8、LPS、TNF等指标改善显著且优于对照组,且观察组治疗成功率高于对照组(P<0.05)。结论:相比较胸腹部带蒂皮瓣修复术而言,穿支皮瓣术治疗手外伤软组织缺损的效果更好,值得推广应用。

Objective:To investigate the effect of perforating branch flap and pedicled pectoral-abdominal flap in the treatment of soft tissue defect of hand trauma.Methods:From March 2015 to February 2018,68 patients with soft tissue defect of hand trauma were randomly divided into two groups:the control group(pedicled pectoral-abdominal flap)and the observation group(perforating branch flap).Results:After treatment,the indexes of IL-6,IL-8 and LPS-TNF in the observation group were significantly improved and better than those in the control group,and the success rate of treatment in the observation group was higher than that in the control group(P<0.05).Conclusion:compared with the pedicle flap repair of chest and abdomen,perforating branch flap is more effective in the treatment of soft tissue defect of hand trauma,which is worth popularizing.