| 杨 光,帖成章,胡 沣,王 进,杨永晖,耿 凯.吻合皮下静脉的带蒂皮瓣修复四肢皮肤软组织缺损的效果分析[J].,2022,(14):2718-2721 |
| 吻合皮下静脉的带蒂皮瓣修复四肢皮肤软组织缺损的效果分析 |
| Analysis of the Effects of Pedicled Skin Flap Anastomosed with Subcutaneous Vein in Repairing Skin and Soft Tissue Defects of Extremities |
| 投稿时间：2022-01-24 修订日期：2022-02-18 |
| DOI：10.13241/j.cnki.pmb.2022.14.024 |
| 中文关键词: 吻合皮下静脉 带蒂皮瓣 四肢皮肤软组织缺损 四肢创伤 |
| 英文关键词: Subcutaneous vein anastomosis Pedicled skin flap Skin and soft tissue defects of extremities Limb trauma |
| 基金项目:国家自然科学基金面上项目（81774436） |
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| 中文摘要: |
| 摘要 目的：探讨与分析吻合皮下静脉的带蒂皮瓣修复四肢皮肤软组织缺损的效果。方法：选择2018年12月到2021年12月在本院创伤造成的四肢皮肤软组织缺损60例患者作为研究对象，将其随机分为吻合皮下静脉带蒂皮瓣组与传统带蒂皮瓣组各30例。吻合皮下静脉带蒂皮瓣组给予吻合皮下静脉的带蒂皮瓣修复治疗，传统带蒂皮瓣组给予常规直接覆盖创面修复治疗。结果：所有患者都顺利完成手术，吻合皮下静脉带蒂皮瓣组围手术指标时间均较传统带蒂皮瓣组少（P<0.05）。吻合皮下静脉带蒂皮瓣组术后3个月的总有效率为96.7 %，高于传统带蒂皮瓣组的76.7 %（P<0.05）。吻合皮下静脉带蒂皮瓣组术后3个月的并发症发生率较传统带蒂皮瓣组低（P<0.05）。吻合皮下静脉带蒂皮瓣组术后6个月的感觉功能恢复情况好于传统带蒂皮瓣组（P<0.05）。结论：吻合皮下静脉的带蒂皮瓣能促进患者的创面愈合，提高治疗效果，减少并发症，加快恢复患者的四肢皮肤软组织缺损。 |
| 英文摘要: |
| ABSTRACT Objective: To explore and analysis the effects of pedicled skin flap anastomosed with subcutaneous vein in repairing skin and soft tissue defects of limbs. Methods: Sixty patients with skin and soft tissue defects of limbs caused by trauma in our hospital from December 2018 to December 2021 were selected as the research objects, and they were randomly divided into the pedicled skin flap anastomosis subcutaneous vein group and the traditional skin flap group (30 cases in each group). The pedicled skin flap group was treated with pedicled skin flap with anastomosis of subcutaneous vein, while the traditional pedicled skin flap group was treated with conventional direct covering wound repair. Results: All patients completed the operation successfully, and the perioperative indexes of pedicled flap group were lower than those of traditional flap group (P<0.05). The total effective rate of pedicled flap anastomosis with subcutaneous vein 3 months after operation was 96.7 %, which was higher than that of traditional flap group 76.7 % (P<0.05). The incidence of complications 3 months after operation in pedicled flap group was lower than that in traditional flap group (P<0.05). The sensory function of the pedicled flap group was better than that of the traditional flap group 6 months after operation (P<0.05). Conclusion: Pedicled flap with subcutaneous vein anastomosis can promote wound healing, improve therapeutic effect, reduce complications, and speed up the recovery of skin and soft tissue defects of limbs. |
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