[1]齐 涵,杨志强,张春宇.改良动脉化静脉皮瓣与同指背逆行岛状皮瓣修复手指软组织缺损疗效对比[J].中国美容医学,2026,(3):18-22.[doi:10.15909/j.cnki.cn61-1347/r.007305]
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改良动脉化静脉皮瓣与同指背逆行岛状皮瓣修复手指软组织缺损疗效对比()

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2026年3期
页码:
18-22
栏目:
整形美容
出版日期:
2026-03-10

文章信息/Info

作者:
齐 涵; 杨志强; 张春宇
(南京医科大学康达医学院附属连云港第二人民医院急诊外科 江苏 连云港 222000)
DOI:
10.15909/j.cnki.cn61-1347/r.007305
摘要:
目的：分析比较改良动脉化静脉皮瓣与同指背逆行岛状皮瓣修复手指软组织缺损的临床效果。方法：回顾性选取2018年4月-2023年10月在南京医科大学康达医学院附属连云港第二人民医院进行治疗的79例手指软组织缺损患者为研究对象，按照不同修复方法分为两组，对照组（n=39）予以同指背逆行岛状皮瓣修复术，观察组（n=40）应用改良动脉化静脉皮瓣修复治疗，比较两组修复效果。结果：观察组皮瓣成活率高于对照组（P＜0.05）,两组并发症总发生率比较，差异无统计学意义（P＞0.05）。术后1个月，观察组疼痛评分较对照组低，手部功能评分较对照组高（P＜0.05）。观察组与对照组并发症发生率比较（P＞0.05）。术后3个月，观察组伤侧近指间关节、远指间关节活动度、血流速度、血流灌注量相对值均较对照组高（P＜0.05）。结论：相较于同指背逆行岛状皮瓣，改良动脉化静脉皮瓣修复治疗能够显著提升皮瓣成活率和手指软组织损伤患者的手部功能，减轻患者的疼痛程度，且指间关节活动度更高。
Abstract:
Objective To analyze and compare the clinical effects of modified arterialized venous flaps and homodactylous retrograde island fl ap repair of soft tissue defects of fi ngers on the same dorsal fi nger. Methods A retrospective selection was made of 79 patients with soft tissue defects of the fi ngers who were treated in Lianyungang Second People’s Hospital Affi liated to Kangda Medical College, Nanjing Medical University from April 2018 to October 2023 as the research objects. They were divided into 2 groups according to diff erent repair methods. The control group (n=39) was given homodactylous retrograde island fl ap on the dorsal side of the fi ngers. The observation group (n=40) was treated with modifi ed arterialized venous fl ap repair, and the repair eff ects of the two groups were compared. Results The fl ap survival rate in the observation group was higher than that in the control group (P＜0.05). There was no statistically signifi cant diff erence in the total complication rate between the two groups (P＞0.05). At 1 month postoperatively, the pain score in the observation group was lower, and the hand function score was higher than that in the control group (P＜0.05). The complication rate between the observation and control groups showed no signifi cant diff erence (P＞0.05). At 3 months postoperatively, the range of motion of the proximal interphalangeal joint and distal interphalangeal joint on the injured side, as well as the blood flow velocity and relative blood perfusion rate, were all signifi cantly higher in the observation group than in the control group (P＜0.05). Conclusion The modified arterialized venous flap repair significantly improves flap survival rate and hand function in patients with fi nger soft tissue injury, reduces pain intensity, and results in greater interphalangeal joint mobility compared to homodactylous retrograde island fl ap.
更新日期/Last Update: 2026-03-11