[1]许生领,汪红林,张 浩,等.桡动脉掌浅支腕横纹皮瓣游离移植修复手指软组织缺损的疗效观察[J].中国美容医学,2023,(6):48-51.[doi:10.15909/j.cnki.cn61-1347/r.005743]
　XU Shengling,WANG Honglin,ZHANG Hao,et al.Observation on the Repair Effect of Superfi cial Palmar Branch of the Radial Artery Wrist Horizontal Stripes Flaps on Finger Soft Tissue Defects[J].Medical Aesthetics and Beauty,2023,(6):48-51.[doi:10.15909/j.cnki.cn61-1347/r.005743]
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桡动脉掌浅支腕横纹皮瓣游离移植修复手指软组织缺损的疗效观察()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年6期
页码:
48-51
栏目:
出版日期:
2023-06-10

文章信息/Info

Title:
Observation on the Repair Effect of Superfi cial Palmar Branch of the Radial Artery Wrist Horizontal Stripes Flaps on Finger Soft Tissue Defects
文章编号:
1008-6455（2023）06-0048-04
作者:
许生领; 汪红林; 张 浩; 贾其余
[合肥市第二人民医院(安徽医科大学附属合肥医院)
Author(s):
XU Shengling; WANG Honglin; ZHANG Hao; JIA Qiyu
[Department of Orthopaedics,the Second People’s Hospital of Hefei(Hefei Hospital Affi liated to Anhui Medical University),Hefei 230011,Anhui,China]
关键词:
手指软组织缺损; 桡动脉掌浅支腕横纹皮瓣; 移植; 临床疗效; Michigan手部功能问卷
Keywords:
fi nger soft tissue defect;  superfi cial palmar branch of the radial artery wrist horizontal stripes fl ap;  transplantation;  clinical curative eff ect;  Michigan hand outcomes questionnaire
分类号:
R662+ .1
DOI:
10.15909/j.cnki.cn61-1347/r.005743
文献标志码:
B
摘要:
目的：探究桡动脉掌浅支腕横纹皮瓣游离移植修复手指软组织缺损的临床疗效。方法：选择2019年1月-2021年12月 笔者医院收治的23例手指软组织缺损患者为研究对象，均给予桡动脉掌浅支腕横纹皮瓣游离移植修复治疗，术后随访6～12 个月，评估疗效、手指功能[Michigan手部功能问卷（Michigan hand outcomes questionnaire，MHQ）]及徒手肌力。结 果：本组23例患者皮瓣均完全存活，手术优良率为100.00%，其中优14例，良9例；手术操作时间（3.16±0.21）h，术中出 血量（83.27±6.59）ml，创面愈合时间（18.03±2.12）d；皮瓣两点分辨觉（7.41±0.43）mm。术后6个月MHQ评分：整体 手功能（80.02±5.17）分，日常活动（78.94±6.13）分，工作情况（79.17±6.02）分，疼痛（77.02±6.13）分，外观 （81.16±5.02）分，手功能满意程度（83.02±3.95）分。术后6个月肌力：4级5例，5级18例。随访期间出现术后创缘部分 坏死1例，并发症发生率为4.35%。结论：桡动脉掌浅支腕横纹皮瓣游离移植修复手指软组织缺损疗效好，可有效恢复手指功 能及徒手肌力，患者满意程度较高。
Abstract:
Objective To explore the clinical repair effect of superficial palmar branch of the radial artery wrist horizontal stripes fl aps on fi nger soft tissue defects. Methods 23 patients with fi nger soft tissue defects admitted to the author’s hospital from January 2019 to December 2021 were selected as the study objects. All of them were given free wrist transverse fl ap transplantation with superficial palmar branch of radial artery for repair. The postoperative follow-up was 6-12 months to evaluate the efficacy,finger function （Michigan hand outcomes questionnaire,MHQ）and manual muscle strength. Results The fl aps in all the 23 patients were survived completely. The good rate of surgery was 100.00 %,including 14 excellent cases and 9 good cases. The operation time,intraoperative blood loss,wound healing time and two-point resolution of flaps were (3.16±0.21) h,(83.27±6.59) ml,(18.03±2.12) d and (7.41±0.43) mm,respectively. MHQ scores at 6 months after surgery: overall hand function (80.02±5.17) points,daily activities (78.94±6.13) points,working condition (79.17±6.02) points,pain (77.02±6.13) points,appearance (81.16±5.02) points,satisfaction with hand function (83.02±3.95) points. The grading of muscle strength at 6 months after surgery: 5 cases at grade 4,18 cases at grade 5. During follow- up,there was 1 case with wound margin necrosis,with complications incidence of 4.35%. Conclusion The response rate of superfi cial palmar branch of the radial artery wrist horizontal stripes fl aps is high in the repair of fi nger soft tissue defects,which can eff ectively recover fi ngers function,with high patients satisfaction with hand function.
更新日期/Last Update: 2023-07-07