皮瓣修复治疗四肢严重烧伤的临床分析
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摘要
目的研究四肢严重烧伤患者采用两种皮瓣修复方式进行手术治疗的临床效果。方法选择收治的四肢严重烧伤患者62例,随机分为对照组和治疗组,每组31例。对照组采用随意皮瓣方式进行手术修复治疗;治疗组采用股前外侧穿支皮瓣进行手术修复治疗。比较两组烧伤手术治疗效果、术后并发症情况、住院治疗时间和患肢功能恢复时间。结果治疗组烧伤手术治疗效果达到93. 5%,高于对照组的77. 4%;术后并发症仅有1例,少于对照组的5例;住院治疗时间和患肢功能恢复时间短于对照组。组间比较,差异有统计学意义(P <0. 05)。结论四肢严重烧伤患者采用股前外侧穿支皮瓣进行手术修复治疗,能够减少术后并发症,缩短住院时间和恢复时间,在提高治疗效果的同时使患者对美观程度的满意度提升。
Objective To study the clinical effect of two kinds of skin flaps for patients with severe burn of extremities. Methods Sixty-two patients with severe burns of limbs in our hospital were randomly divided into control group and treatment group,with 31 cases in each group. The control group was treated with random flaps,while the treatment group was treated with anterolateral thigh perforator flaps. The therapeutic effects,complications,hospitalization time and recovery time of limb function were compared between the two groups. Results The curative effect of burn operation in the treatment group was up to 93. 5%,77. 4% higher than the control group; there was only one case of complications after operation,fewer than5 cases in the control group; hospitalization time and limb function recovery time of treatment group were shorter than those in the control group. There was a statistically significant difference between the data groups( P < 0. 05). Conclusion The anterolateral thigh perforator flaps can reduce the postoperative complications,shorten the hospital stay and recovery time,improve the treatment effect and promote the satisfaction of patients with aesthetic degree.
Objective To study the clinical effect of two kinds of skin flaps for patients with severe burn of extremities. Methods Sixty-two patients with severe burns of limbs in our hospital were randomly divided into control group and treatment group,with 31 cases in each group. The control group was treated with random flaps,while the treatment group was treated with anterolateral thigh perforator flaps. The therapeutic effects,complications,hospitalization time and recovery time of limb function were compared between the two groups. Results The curative effect of burn operation in the treatment group was up to 93. 5%,77. 4% higher than the control group; there was only one case of complications after operation,fewer than5 cases in the control group; hospitalization time and limb function recovery time of treatment group were shorter than those in the control group. There was a statistically significant difference between the data groups( P < 0. 05). Conclusion The anterolateral thigh perforator flaps can reduce the postoperative complications,shorten the hospital stay and recovery time,improve the treatment effect and promote the satisfaction of patients with aesthetic degree.
引文
[1]孙济宇,罗晓庆,王晓波.负压封闭引流术联合冲洗液持续冲洗在深Ⅱ度烧伤中应用的效果评价[J].中国实用护理杂志,2014,30(13):48-49.
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[6]周文涛,何国,张文仕,等. Meek皮移植技术用于大面积烧伤创面患者治疗效果的临床研究[J].临床医学工程,2017,24(2):213-214.
[7]王静,徐炜志,葛秀峰,等.磨痂术联合人工皮膜在中小面积深Ⅱ度烧伤早期治疗中的应用[J].中华烧伤杂志,2014,30(1):63-64.
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[9]孙淮庆,陈晓钢,李海珍,等.磺胺嘧啶银脂质水胶敷料结合负压封闭引流治疗深部感染创面的效果评价[J].中华现代护理杂志,2014,49(4):479-482.
[10]张承德,钟源,吴德勇,等.持续封闭负压引流技术在深度烧伤创面修复中的应用[J].临床医学工程,2017,24(2):241-242.
[11]张文浩,周莉萍,张志华,等.扩创植皮联合负压封闭引流治疗烧伤患者后期感染难愈创面[J].中华烧伤杂志,2014,30(4):365-366.
[12]孟晖,李琳,孙东原.扩创植皮术联合VSD对大面积烧伤感染难愈创面的临床应用价值分析[J].齐齐哈尔医学院学报,2015,36(25):3806-3807.
[13]谢肖霞,伍淑文,陈楚芬,等.应用临床康复护理路径对烧伤患者进行功能康复指导的效果[J].中国康复理论与实践,2013,19(9):893-894.
[14]秦王驰,梁智,杨卫国,等.指固有动脉皮瓣修复手指深度烧伤创面的临床观察[J].现代医院,2017,17(5):731-732.
[15]张小平,邹旭,许永先,等.应用带肌腱神经的游离静脉皮瓣修复手指掌侧复合组织缺损[J].现代医院,2017,17(5):729.
[16]陈丽映,潘丽沁,赵淑婷,等.护理风险管理在重度烧伤患者重症监护中的应用[J].中华现代护理杂志,2015,21(8):966-969.
[17]焦献功,李红,蒋章佳,等.早期磨痂保留变性真皮加DR脱细胞异种皮覆盖治疗非功能部位深Ⅱ度烧伤的疗效观察[J].滨州医学院学报,2013,6(5):392-393.
[2]周琪敏,贺小华,姜广荣,等.延续护理对重度烧伤患者生活质量的影响[J].护理学杂志:外科版,2014,29(12):41-42.
[3]姚兴伟,孙伟晶,韩德志,等.小儿大面积深Ⅱ度烧伤休克期磨痂效果观察[J].中华损伤与修复杂志(电子版),2013,8(4):371-375.
[4]刘玉丽,王剑,王延金,等.异体皮移植术与延期完成异体皮移植术在大面积烧伤患者中的效果对比[J].中国现代医学杂志,2014,17(30):873-879.
[5]杨明星,王猛,曹亦财,等.早期切削痂植皮治疗手部深度烧伤临床分析[J].临床医药文献电子杂志,2014,12(5):763-764.
[6]周文涛,何国,张文仕,等. Meek皮移植技术用于大面积烧伤创面患者治疗效果的临床研究[J].临床医学工程,2017,24(2):213-214.
[7]王静,徐炜志,葛秀峰,等.磨痂术联合人工皮膜在中小面积深Ⅱ度烧伤早期治疗中的应用[J].中华烧伤杂志,2014,30(1):63-64.
[8]唐志豪.负压封闭引流技术(VSD)在治疗骨创伤创面软组织损伤中的临床疗效评价[J].中国现代医生,2014,52(5):118-119,122.
[9]孙淮庆,陈晓钢,李海珍,等.磺胺嘧啶银脂质水胶敷料结合负压封闭引流治疗深部感染创面的效果评价[J].中华现代护理杂志,2014,49(4):479-482.
[10]张承德,钟源,吴德勇,等.持续封闭负压引流技术在深度烧伤创面修复中的应用[J].临床医学工程,2017,24(2):241-242.
[11]张文浩,周莉萍,张志华,等.扩创植皮联合负压封闭引流治疗烧伤患者后期感染难愈创面[J].中华烧伤杂志,2014,30(4):365-366.
[12]孟晖,李琳,孙东原.扩创植皮术联合VSD对大面积烧伤感染难愈创面的临床应用价值分析[J].齐齐哈尔医学院学报,2015,36(25):3806-3807.
[13]谢肖霞,伍淑文,陈楚芬,等.应用临床康复护理路径对烧伤患者进行功能康复指导的效果[J].中国康复理论与实践,2013,19(9):893-894.
[14]秦王驰,梁智,杨卫国,等.指固有动脉皮瓣修复手指深度烧伤创面的临床观察[J].现代医院,2017,17(5):731-732.
[15]张小平,邹旭,许永先,等.应用带肌腱神经的游离静脉皮瓣修复手指掌侧复合组织缺损[J].现代医院,2017,17(5):729.
[16]陈丽映,潘丽沁,赵淑婷,等.护理风险管理在重度烧伤患者重症监护中的应用[J].中华现代护理杂志,2015,21(8):966-969.
[17]焦献功,李红,蒋章佳,等.早期磨痂保留变性真皮加DR脱细胞异种皮覆盖治疗非功能部位深Ⅱ度烧伤的疗效观察[J].滨州医学院学报,2013,6(5):392-393.