穿支皮瓣修复治疗手外伤软组织缺损的疗效探析

Effect of perforator flaps in repairing soft tissue defect of hand trauma

目的:本文探索穿支皮瓣修复术治疗手外伤软组织缺损的效果。方法:92例手外伤软组织缺损患者,采用随机数字表法分为两组,实验组46例,予以穿支皮瓣修复术治疗,参照组46例,予以胸腹带蒂皮瓣修复术治疗。比较两组的治疗效果。结果:实验组治疗优良率95.7%,高于参照组80.4%,并发症发生率6.5%,低于参照组26.1%,差异有统计学意义(P<0.05)。结论:采用穿支皮瓣修复术治疗手外伤软组织缺损可提高疗效,降低并发症。

Objective:To investigate the efficacy of perforator flap in the treatment of soft tissue defects caused by hand trauma.Methods:92 patients with hand injury and soft tissue defect were divided into two groups by random number table.46 patients in the experimental group were treated with perforator flaps and 46 patients in the control group were treated with thoracoabdominal pedicled flaps.The therapeutic effects of the two groups were compared.Results:The excellent and good rate of treatment in the experimental group was 95.7%,higher than 80.4%in the control group,and the incidence of complications was 6.5%,lower than 26.1%in the control group,the differences were significant(P<0.05).Conclusion:Perforator flaps can improve the curative effect and reduce complications in the treatment of hand injury and soft tissue defect.