穿支皮瓣修复治疗手外伤软组织缺损的效果观察及不良反应发生率影响分析

Observation of the Effect of Percutaneous Flap Repair on Soft Tissue Defects in Hand Trauma

目的探讨对手外伤软组织缺损患者拟定穿支皮瓣修复方案进行治疗后获得的临床效果以及对不良反应发生率产生的影响。方法选择该院2017年7月—2019年3月收治的92例手外伤软组织缺损患者作为实验对象;信封法分组后拟定每组修复治疗方案;参照组(46例):拟定胸腹部带蒂皮瓣修复治疗方案展开;实验组(46例):拟定穿支皮瓣修复治疗方案展开;就组间修复治疗优良率、抗菌药物应用时长、愈合时长、住院时长以及手术不良反应发生率展开对比。结果实验组手外伤软组织缺损患者修复治疗优良率(95.65%)高于参照组(73.91%)(χ2=8.425,P<0.05);实验组手外伤软组织缺损患者抗菌药物应用时长短于参照组明显,愈合时长以及住院时长短于参照组明显(t=16.589、26.627、22.338,P<0.05);实验组手外伤软组织缺损患者手术不良反应发生率(2.17%)低于参照组(19.57%)(χ2=7.181,P<0.05)。结论手外伤软组织缺损患者于临床接受穿支皮瓣修复术治疗后,利于修复治疗优良率提升、抗菌药物应用时长缩短,愈合时长以及住院时长的缩短,手术不良反应发生率的降低,最终促进手外伤软组织缺损患者早期转归。

Objective To explore the clinical effect of the treatment of percutaneous branch flap repair in patients with soft tissue defect of trauma and the effect on the incidence of adverse reactions.Methods Select 92 patients with hand trauma and soft tissue defects treated in the hospital from July 2017 to March 2019 as experimental subjects;envelop method was used to develop each group's repair treatment plan;reference group(46 cases):to prepare chest and abdomen pedicles flap repair treatment plan unfolded;experimental group(46 cases):development of percutaneous branch flap repair treatment plan;comparison of excellent treatment rate,duration of antibacterial application,healing time,length of hospital stay,and incidence of adverse surgical reactions between groups.Results The excellent repair rate(95.65%)of patients with soft tissue defect in hand trauma in the experimental group was significantly higher than that in the reference group(73.91%)(χ2=8.425,P<0.05).The duration of application of antibacterial drugs was shorter than that in the reference group;the healing time and length of hospitalization were shorter in the control group than in the reference group(t=16.589,26.627,22.338,P<0.05).The incidence of adverse surgical reactions(2.17%)in patients with hand trauma and soft tissue defects in the experimental group was lower than the reference group(19.57%)(χ2=7.180,P<0.05).Conclusion Patients with soft tissue defects of hand trauma after clinically undergoing percutaneous flap repair will be able to improve the rate of excellent repair treatment,shorten the duration of antibacterial drugs,shorten the healing time and length of hospitalization,reduce the incidence of adverse surgical reactions,and ultimately promote early outcome of patients with hand trauma and soft tissue defects.