六星皮瓣指蹼重建在单纯性并指分离中的应用

发布时间：2019-01-08 20:18

【摘要】：目的:本研究旨在探索一种新的并指分离指蹼成形方法,并探讨其临床疗效。方法:收集山西省儿童医院2014年10月—2016年3月进行单纯性并指畸形手术患儿共31例(其中男19例,女12例),进行回顾性分析,年龄1岁~3岁,平均年龄(1.8±0.4)岁。术后跟踪随访时间为11月~2.5年,平均随访时间(16.6±3.6)个月。其中实行六星皮瓣指蹼重建,并指分离手术的17例患者作为实验组,以14例进行矩形皮瓣指蹼成形,并指分离手术患者作为对照组。并收集长期疗效的观测指标。运用SPSS20.0软件进行统计学分析所收集的观测指标,检测水准均为α=0.05,P0.05表明其差异具有统计学意义。结果:两组的术后效果均让人满意。在手术持续时间、愈合时间、温哥华瘢痕评价量表评分、视觉模拟量表评分指标上、在指蹼爬移评分、手指关节自主活动度指标上,六星皮瓣组优于矩形皮瓣组。结论:六星皮瓣与矩形皮瓣指蹼重建治疗并指都能达到基本满意的术后功能与外观,六星皮瓣指蹼重建减少植皮,外观更接近正常,操作简单,存活率高,功能良好,临床疗效满意。
[Abstract]:Objective: to explore a new method of digital webbing and its clinical effect. Methods: a total of 31 children (19 males and 12 females) underwent simple operation with finger deformity from October 2014 to March 2016 in Shanxi Children's Hospital were retrospectively analyzed. The age ranged from 1 to 3 years with an average age of (1.8 卤0.4) years. The follow-up time was from November to 2.5 years, and the average follow-up time was (16.6 卤3.6) months. Among them, 17 patients underwent digital webbing reconstruction of six-star flap and 17 patients underwent finger separation operation, 14 patients underwent rectangular flap webbing and 14 patients underwent finger separation operation as control group. And collect the observation index of long-term curative effect. The SPSS20.0 software was used to carry on the statistical analysis to collect the observation index, the detection level was 伪 = 0.05% P 0.05, which indicated that the difference was statistically significant. Results: the results were satisfactory in both groups. In terms of operation duration, healing time, Vancouver scar evaluation scale, visual analogue scale, finger webbed movement score and finger joint motion index, the six-star flap group was superior to the rectangular flap group. Conclusion: six star flap and rectangular flap can achieve satisfactory postoperative function and appearance. The reconstruction of six star flap can reduce skin graft, the appearance is closer to normal, the operation is simple, the survival rate is high, and the function is good. The clinical effect is satisfactory.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R726.5

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