[1] 米增法. 下腹部带蒂超薄皮瓣修复术联合负压封闭引流治疗手部热压伤[J].中国美容医学,2020,(9):74-77.
　 MI Zeng-fa. Observation on the Curative Effect of Pedicled Ultra-thin Flap Repair of the LowerAbdomen Combined with Vacumm Sealing Drainage Technique in the Treatment ofHot Pressure Injury of Hand[J].Medical Aesthetics and Beauty,2020,(9):74-77.
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 下腹部带蒂超薄皮瓣修复术联合负压封闭引流治疗手部热压伤
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年9期
页码:
74-77
栏目:
出版日期:
2020-09-10

文章信息/Info

Title:
 Observation on the Curative Effect of Pedicled Ultra-thin Flap Repair of the Lower
Abdomen Combined with Vacumm Sealing Drainage Technique in the Treatment of
Hot Pressure Injury of Hand
文章编号:
1008-6455（2020）09-0074-03
作者:
 米增法
Author(s):
 MI Zeng-fa
关键词:
 [关键词]热压伤; 下腹部带蒂超薄皮瓣修复术; 负压封闭引流; 皮瓣移植; 创面修复
Keywords:
 Key words: hot pressure injury;  repair with pedicled ultra-thin flap of lower abdomen;  vacumm sealing drainage;  skin flaptransplantation;  wound repair
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨下腹部带蒂超薄皮瓣修复术联合负压封闭引流在手部热压伤治疗中的应用效果，及促进皮瓣与创面愈合的
作用原理。方法：选取2017年3月-2019年4月笔者医院烧伤科收治的手部热压伤患者104例，按数字表法随机将患者分为
常规组和联合组，每组52例。常规组患者在坏死组织清创术、组织损伤探查后采用下腹部带蒂超薄皮瓣修复手部创面；联
合组行下腹部带蒂超薄皮瓣修复创面及负压封闭引流创面修复手术。两组均随访观察结果。结果：联合组皮瓣成活率、手
部功能恢复优良率明显高于常规组，联合组平均断蒂时间短于常规组，差异有统计学意义(P ＜0.05)。结论：下腹部带蒂
超薄皮瓣修复术联合负压封闭引流技术在手部热压伤治疗中可提高皮瓣存活率，改善患者手部功能，进而提高患者生活质
量，值得临床应用推广。

Abstract:
Abstract: Objective To investigate the application of the pedicled ultra-thin flap repair of the lower abdomen combined with
the negative pressure closed drainage technique in the thermal compression of the hand to promote the healing principle of the
flap and wound. Methods A total of 104 patients with hand bruises admitted to the department of burns in our hospital from
March 2017 to April 2019 were randomly divided into the conventional group and the combined group according to the digital
table method, with 52 patients in each group. After the debridement of necrotic tissue and the exploration of tissue damage in
the conventional group, the lower abdomen pedicled ultra-thin flap was used to repair the hand wound. The combined group
underwent repair of the lower abdominal pedicled ultra-thin flaps and negative pressure closed drainage wounds, and the
treatment results were followed up. Results The flap survival rate and excellent and good rate of hand function recovery in
the combined group were significantly higher than those in the conventional group, and the average pedicle cutting time in
the combined group was shorter than that in the conventional group, the differences were statistically significant(P ＜0.05).
Conclusion Lower abdominal pedicled ultra-thin flap repair combined with negative pressure closed drainage technology can
improve the survival rate of flaps, improve the function of patients’ hands, and improve the quality of life of patients during
thermal compression treatment. Worth clinical application promotion
更新日期/Last Update: 2020-09-25