62例手指背侧软组织缺损患者应用旋髂浅动脉游离皮瓣修复的效果

Effect of superficial circumflex iliac artery free flap repair for 62 patients with soft tissue defects of dorsal finger

目的观察62例手指背侧软组织缺损患者应用旋髂浅动脉游离皮瓣修复的效果.方法本院收治的62例手指背侧软组织缺损患者均接受旋髂浅动脉游离皮瓣修复术治疗,分析应用旋髂浅动脉游离皮瓣修复的效果及安全性.结果本组62例患者术后皮瓣全部存活,6例出现张力性水泡(通过换药最终自愈),皮瓣以及供区的创面最终都在1周内愈合,平均手术时间(56.28±8.52)min,平均住院时间(12.01±4.06)d,平均随访时间(8.02±1.01)个月,术后患者均对皮瓣外观满意.本组患者术后手指屈伸功能分级显著优于术前(P<0.05),患者总不良反应发生率为17.74%.结论旋髂浅动脉游离皮瓣修复术在手指背侧软组织缺损患者治疗中修复效果满意,可作为手指背侧软组织缺损患者一种安全有效的治疗方案.

Objective To observe the application effect of superficial circumflex iliac artery free flap repair for 62 patients with soft tissue defects of dorsal finger. Methods A total of 62 patients with soft tissue defects of dorsal finger who were admitted to the hospital underwent superficial circumflex iliac artery free flap repair. The application effect and safety of superficial circumflex iliac artery free flap repair were analyzed. Results All flaps of 62 patients were survived after surgery, only 6 cases presented tension vesicle (finally healed after dressing change). The wounds in flap and donor site eventually healed within one week. The average operation time, average hospitalization time and average follow-up time were (56.28±8.52) min,(12.01±4.06) days and (8.02± 1.01) months, respectively. After surgery, patients were satisfied with appearance of flaps. After surgery, postoperative finger flexion and extension function grading of patients in this group were significantly improved compared to treatment before( P <0.05). The total incidence of adverse reactions was 17.74%. Conclusion The repair effect of superficial circumflex iliac artery free flap repair is satisfactory for patients with soft tissue defects of dorsal finger, which can be a safe and effective treatment method for these patients.