股前外侧穿支皮瓣与腹带蒂皮瓣修复手部损伤并组织缺损的比较。
A comparison between anterolateral thigh perforator flap and abdominal pedicle flap in repair of hand injuries and tissue defects.
作者信息
Huang Yinwei, Lu Yefeng, Cao Jinlin, Huang Xuehui
机构信息
Department of Microsurgery, The People's Hospital of Yuyao, Yuyao, China.
出版信息
J Pak Med Assoc. 2023 Apr;73(4):876-878. doi: 10.47391/JPMA.6606.
The purpose of this study was to compare the outcome of anterolateral thigh perforator flap and abdominal pedicled flap repair for treating traumatic tissue defects of the hand. A total of 140 patients with hand trauma tissue defects were randomly divided (random number table) into Group A and Group B, with 70 cases in each group. Group A was given anterolateral thigh perforator flap repair, while Group B was given abdominal pedicled flap repair. The healing time of wounds in Group A was noted to be shorter than that in Group B (p<0.001). At one week after surgery, VAS score, serum IL-6 and TNF-α levels in Group A were 4 times lower than those in Group B (p<0.001 for all). Anterolateral thigh perforator flap repair works more effectively on traumatic tissue defects of the hands than abdominal pedicled flap repair. It reduces pain, shortens wound healing time, and lowers serum IL-6 and TNF-α levels.
本研究旨在比较股前外侧穿支皮瓣和腹部带蒂皮瓣修复对手部创伤性组织缺损的效果。将 140 例手部创伤性组织缺损患者随机（随机数字表法）分为 A 组和 B 组，每组 70 例。A 组给予股前外侧穿支皮瓣修复，B 组给予腹部带蒂皮瓣修复。A 组的伤口愈合时间短于 B 组（p<0.001）。术后 1 周，A 组的 VAS 评分、血清 IL-6 和 TNF-α水平均低于 B 组（均 p<0.001）。股前外侧穿支皮瓣修复对手部创伤性组织缺损的效果优于腹部带蒂皮瓣修复。它可以减轻疼痛，缩短伤口愈合时间，降低血清 IL-6 和 TNF-α水平。
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