动脉化静脉皮瓣修复手部软组织缺损的临床研究

目的介绍动脉化的静脉皮瓣实施修复手指皮肤软组织缺损的方法和临床效果。方法将湖北省荣军医院于2010年5月至2012年5月收治的手指皮肤软组织缺损患者58例随机分为三组：研究组20例，采用动脉化的静脉皮瓣修复手指皮肤软组织缺损；参照组A19例，采用手指动脉岛状皮瓣实施修复；参照组B19例，选用腹部任意皮瓣实施修复。比较三组的临床疗效。结果术后15d，研究组患者的手术成功率为95．0％，参照组A为78．9％，参照组B为73．7％，三组比较差异均有统计学意义（P〈0．05）。结论应用动脉化的静脉皮瓣修复手指皮肤软组织缺失损是一种较理想的方法。

Arterialized Venous Flap to Repair Soft Tissue Defects of the Hand of Clinical Research

Objective To study the use of arterial venous flap method and the clinical effect of the implementation of the repair of finger skin and soft tissue defects. Methods 58 patients were selected from Hubei Province lnvalides Hospital during May 2010 to May 2012, which were randomly divided into three groups ： the study group （ 20 cases） used arterial venous flap repair of finger soft tissue defects, reference group A （ 19 cases） used the finger artery flap for repair, the reference group B （ 19 cases） used random abdomen flap for repair. The clinical efficacy of the three groups was compared. Results After 15 days, the surgical suc- cess rate of the study groupwas 95.0% ,of the reference group A was 78.9%, and of the reference group B was 73.7 % , the difference between the three groups was statistically significant （ P 〈 0.05 ）. Conclusion Using arterialized venous flap to repair the lack of finger skin and soft tissue loss is a relatively ideal method.