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目的:对比分析窄蒂脐旁穿支皮瓣与股前外侧穿支皮瓣修复手部小面积电烧伤的临床效果。方法:以我院2014年2月~2015年2月收治的310例手部小面积电烧伤患者为研究对象,随机分为两组,每组155例,其中对照组在常规电烧伤处理的基础上采用股前外侧穿支皮瓣修复进行治疗,观察组在常规电烧伤处理的基础上采用窄蒂脐旁穿支皮瓣进行治疗,对所有经手术治疗的患者进行术后回访,分析比较两组患者的临床治疗效果,主要观察患者皮瓣色泽、外形和成活率,以及术后手部的感觉功能和运动功能的回复情况。结果:对两组患者进行术后回访,发现两组患者的皮瓣移植成活率均高达100%,且创面1期愈合情况均较好,两组数据对比差异不显著(P>0.05)但是在皮瓣外形和色泽,以及手部感觉功能和运动功能的回复情况上观察组的临床效果明显优于对照组,两组数据比较差异具有统计学意义(P<0.05),此外,两组患者在术后均没有出现伤口感染、骨头坏死以及神经和血管损伤等并发症。结论:窄蒂脐旁穿支皮瓣与股前外侧穿支皮瓣修复手部小面积电烧伤的皮瓣成活率相近且均较高,并且在手术均没有出现并发症,但是前者的远期移植效果相对于后者更优,更有助于手部小面积电烧伤的修复治疗。
OBJECTIVE: To compare and analyze the clinical effect of narrow pedicled umbilical paralyzed perforator flaps and anterolateral femoral perforator flaps in repairing small area hand electric burns. Methods: A total of 310 patients with small area hand electric burn treated in our hospital from February 2014 to February 2015 were randomly divided into two groups (n = 155 each). The control group was treated on the basis of conventional electric burn treatment On the basis of conventional electric burn treatment, the treatment group was treated with narrow pedicled umbilical perforator flaps, and all the patients undergoing surgical treatment were retrospectively analyzed. Group of patients with clinical treatment, the main observation of the patient flap color, shape and survival rate, as well as postoperative hand feeling and motor function of the recovery. Results: The postoperative visits of the two groups showed that the survival rate of skin flap transplantation in both groups was as high as 100%, and the wound healing in one stage was good. The difference between the two groups was not significant (P> 0.05) The appearance and color of the flap, as well as the recovery of the sensory function and motor function of the hand, were significantly better in the observation group than in the control group, with significant difference between the two groups (P <0.05). In addition, No postoperative wound infection, bone necrosis and complications such as nerve and vascular injury. CONCLUSION: The flap with small pedicled umbilical paraforatus flaps and anterolateral femoral flaps repairs the skin flap with small area of hand electric burns are similar and high, and there are no complications in the operation, but the former long-term The transplantation effect is better than the latter, more conducive to the repair of small area of the hand electric burn.