局解手术学杂志2017，Vol.26Issue(6)：435-437,3.DOI:10.11659/jjssx.02E017043
桡动脉掌浅支腕横纹游离皮瓣修复治疗手部创伤的临床效果
Clinical effect of treatment for hand trauma with free flap of radial artery superficial palmar branch
白杰 1许玉本 1周海振 1田钊 1邢梅利1
作者信息
- 1. 西安交通大学医学院附属红会医院手外科,陕西 西安710054
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of the treatment for hand trauma with free flap of radial artery superficial palmar branch.Methods Selected 100 cases of patients with hand trauma who were treated in our hospital from January 2013 to December 2015.All the patients were treated with free flap of radial artery superficial palmar branch.The postoperative necrosis rate,survival rate,and infection rate of flap of all the patients were observed.All the patients were followed up for 6 months,and the healing of fracture were evaluated by X-ray examination so as to evaluate the hand function recovery.Results After the treatment,there were 9 cases of flap local necrosis and 10 cases of local infection,and the necrosis rate and infection rate were 9% and 10% respectively.The infection was controlled effectively after the symptomatic treatment and the flaps all survived.The swelling degree of skin flap was slight and the appearance was good.After 6 months of follow-up, the 100 cases all get epithelization completely.The X-ray examination showed that the fracture healing is good,with 7 cases of hook nail deformity and 5 cases of slow nail regeneration.The hand function recovery was excellent in 73 cases (73%),good in 16 cases (16%),and medium in 10 cases (10%).Conclusion It is an effective treatment for hand trauma with free flap of radial artery superficial palmar branch,as it can receive high flap survival rate and good recovery of hand function.关键词
皮瓣修复/桡动脉掌浅支/手部创伤/临床效果Key words
repair of skin flap/radial artery superficial palmar branch/hand trauma/clinical effect分类
医药卫生引用本文复制引用
白杰,许玉本,周海振,田钊,邢梅利..桡动脉掌浅支腕横纹游离皮瓣修复治疗手部创伤的临床效果[J].局解手术学杂志,2017,26(6):435-437,3.
