不同逆行岛状皮瓣修复方案在拇指创伤中的疗效比较

doi:10.3969/j.issn.1671-7171.2017.02.006

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Abstract 【Objective】To explore the clinical effect of thenar retrograde island flap and radial dorsal thumb retrograde flap to repair thumb wound patients and to provide reference for clinical promotion. 【Methods】A total of 88 thumb injury patients from February 2013 to June 2016 in our hospital were selected as the research object. According to surgical repair of injured thumb position, patients were divided into 2 groups: the thenar group and the thumb radial dorsal group. Operation time, intraoperative blood loss, postoperative visual pain score (VAS), postoperative recovery of joint activity and sensory, measurement of blood flow to the thumb and patients' satisfaction evaluation were recorded and evaluated in the two groups.【Results】The operative time, intraoperative blood loss and postoperative VAS score of the thenar group were significantly lower than those of the thumb radial dorsal group (P<0.05). Patients in the thenar group showed more satisfaction with dorsal part, and patients in the thumb radial dorsal group were more satisfied with ventral thumb and fingertip. The postoperative joint activity and sensory measurement scores of the thumb radial dorsal group were significantly higher than those of the thenar group. The recovery time after surgery was shorter and the blood flow to thumb in the thenar group was greater than those of the thumb radial dorsal group. All the differences were statistically significant (P<0.05) . 【Conclusion】The radial dorsal thumb retrograde flap repair is suitable for repairing the sensory function of the ventral part of thumb, and thenar retrograde island flap is suitable for repairing the dorsal part of thumb, which has less sensory function.

Key words： Surgical Flaps Thumb/IN Thumb/SU Treatment Outcome

Received: 05 December 2016

PACS:

R658.22

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	Articles by authors
	DING Zheng-ping
	DONG Jie
	LU Yang

Cite this article:

DING Zheng-ping,DONG Jie,LU Yang. Comparative Analysis of the Effect of Different Retrograde Island Flap in the Repair of Thumb Trauma[J]. JOURNAL OF CLINICAL RESEARCH, 2017, 34(2): 226-228.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2017.02.006 OR http://www.jcr.net.cn/EN/Y2017/V34/I2/226

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