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目的比较窄蒂脐旁穿支皮瓣与股前外侧穿支皮瓣在修复手部小面积电烧伤时临床疗效。方法收集2011年3月-2013年12月手部小面积电烧伤患者204例,随机分为试验组和对照组各102例。接受常规电烧伤处理的基础上,试验组患者采用窄蒂脐旁穿支皮瓣修复,对照组患者采用股前外侧穿支皮瓣修复。术后随访6个月,比较2组患者皮瓣成活率、皮瓣色泽、外形、手部运动与感觉功能差异。结果术后随访6个月2组皮瓣移植成活率及创面Ⅰ期愈合的比例差异均无统计学意义(P>0.05);试验组皮瓣正常色泽、正常外形、正常感觉功能及正常运动功能的比例均高于对照组,差异均有统计学意义(P<0.05)。结论窄蒂脐旁穿支皮瓣和股前外侧穿支皮瓣修复存活率相近,但其远期移植效果更为显著。
Objective To compare the clinical effect of narrow pedicled umbilical paraplegia and anterolateral femoral flaps in the repair of small area hand electric injury. Methods Totally 204 patients with small area hand electric burn from March 2011 to December 2013 were randomly divided into experimental group and control group with 102 cases each. On the basis of the conventional electric burn treatment, the patients in the test group were treated with the narrow pedicled umbilical perforator flap and the control group with the anterolateral femoral skin flap. The patients were followed up for 6 months. The survival rate of skin flap, the color, appearance, hand movement and sensory function of the flaps were compared between the two groups. Results There was no significant difference in the survival rate of skin graft between the two groups and the first-degree healing of the wounds after 6 months of follow-up (P> 0.05). The normal color, normal appearance, normal sensory function and normal motor function Higher than the control group, the difference was statistically significant (P <0.05). Conclusions The survival rate of the flap pedicled with narrow pedicled umbilical paraperineal branch and anterolateral femoral skin flap is similar, but the effect of long-term transplantation is more obvious.