Comparison of therapeutic efficacy between venous flap and the flap with superficial palmar branch of radial artery in reconstruction of the defect of finger with segmental defect of proper digital artery

中华显微外科杂志 Pub Date : 2020-02-25 DOI:10.3760/CMA.J.ISSN.1001-2036.2020.01.008

Jie Fang, Jun Li, Junjie Gao, Wen-long Zhang

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Abstract

Objective To compare the effectiveness of venous flap and the flap based on superficial palmar branch of radial artery (SPBRA) in the reconstruction of the defect of finger with segmental defect of proper digital artery. Methods From July, 2014 to March, 2018, 40 patients with soft tissue defects of finger and the proper arteries were treated by the venous flaps (18 cases, group A) and the flaps based on SPBRA (22 cases, group B). The operative time, postoperative 2-PD of the flaps, appearance, patient satisfaction, flaps donor site complications, flaps survival rate and the motion of digital joints were observed and compared by software SPSS 17.0. P<0.05 was considered statistically significant. Results Forty flaps all survived, and the wounds healed primarily. The operative time of group A was (78.89±7.36) min, which was shorter than that of group B (97.27±9.26) min, with statistically significant difference (P 0.05). Conclusion A higher survival rate and satisfactory clinical efficacy can be achieved by the venous flaps and the flap based on SPBRA while the area of defect in hand soft tissue, where there exists a segmental defect of proper arteries, is small. In terms of the recovery of sensing, the first choice is the flap based on SPBRA. In considering of the difficulty in surgical operation, the venous flap is a relatively simple procedure. Key words: Superficial palmar branch of radial artery; Venous flap; Finger injuries; Microsurgical operation

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静脉皮瓣与桡动脉掌浅支皮瓣修复指固有动脉节段性缺损的疗效比较

目的比较静脉皮瓣与桡动脉掌浅支皮瓣（SPBRA）修复手指指固有动脉节段性缺损的疗效。方法2014年7月至2018年3月，采用静脉皮瓣（A组18例）和基于SPBRA的皮瓣（B组22例）治疗手指及固有动脉软组织缺损40例。应用SPSS 17.0软件对皮瓣的手术时间、术后2-PD、外观、患者满意度、皮瓣供区并发症、皮瓣成活率和指关节运动进行观察和比较。P＜0.05被认为具有统计学意义。结果40例皮瓣全部成活，创面基本愈合。A组手术时间为（78.89±7.36）min，较B组（97.27±9.26）min缩短，差异有统计学意义（P＜0.05），存在固有动脉节段性缺损的部位是小的。在传感恢复方面，首选基于SPBRA的皮瓣。考虑到外科手术的难度，静脉皮瓣是一种相对简单的手术方法。关键词：桡动脉掌浅支；静脉皮瓣；手指受伤；显微外科手术

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来源期刊

中华显微外科杂志

CiteScore

0.50

自引率

0.00%

发文量

6448

期刊介绍： Chinese Journal of Microsurgery was established in 1978, the predecessor of which is Microsurgery. Chinese Journal of Microsurgery is now indexed by WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 1.731 in 2017, ranking the third among all journal of comprehensive surgery. The journal covers clinical and basic studies in field of microsurgery. Articles with clinical interest and implications will be given preference.