标题：股外侧及腹股沟皮瓣修复治疗手及前臂皮肤烧伤瘢痕的效果比较

      作者：陈泽春 1，李军 1，陈涛 1，杨蓓蕾 2    (1.安康市中心医院烧伤科，陕西 安康 725000；2.空军军医大学西京医院老年病科，陕西 西安 710000)

      卷次： 2018年29卷24期

      【摘要】 目的 比较股外侧与腹股沟皮瓣修复手术应用于手及前臂皮肤烧伤瘢痕的临床治疗效果。方法 选取2016年7月至2018年3月安康市中心医院烧伤科收治的手及前臂皮肤烧伤瘢痕患者74例为研究对象，根据随机数表法分为观察组与对照组各37例。对照组患者给予股外侧皮瓣修复术治疗，观察组给予腹股沟皮瓣修复术治疗，比较两组患者的皮瓣断蒂时间、皮瓣存活率、皮瓣感染率，以及两组患者肢体功能恢复评分及皮肤恢复评分。结果 观察组患者的皮瓣断蒂时间为(21.98±2.42) d，明显短于对照组的(29.33±3.87) d，皮瓣存活率为94.59%，明显高于对照组的 70.27%，皮瓣感染率为 2.70%，明显低于对照组的 13.51%，差异均有统计学意义(P<0.05)；两组患者治疗后14 d、21 d、28 d、35 d的创面周围炎症评分呈明显升高趋势，且观察组均高于对照组，差异均有统计学意义 (P<0.05)；观察组患者的肢体功能恢复评分及皮肤恢复评分分别为(9.67±1.17)分和(5.41±1.24)分，明显高于对照组的(6.92±1.33)分和(3.06±1.41)分，差异均有统计学意义(P<0.05)。结论 腹股沟皮瓣修复术治疗手及前臂皮肤烧伤瘢痕效果优于股外侧皮瓣修复术，值得临床推广。
      【关键词】 手；前臂；皮肤烧伤；股外侧皮瓣修复术；腹股沟皮瓣修复术；修复
      【中图分类号】 R644 【文献标识码】 A 【文章编号】 1003—6350（2018）24—3466—03

Comparison of the effect of lateral femoral and inguinal flap repair on burn scars of hand and forearm skin.CHEN Ze-chun 1, LI Jun 1, CHEN Tao 1，YANG Bei-lei 2.
1. Department of Burn, Ankang Central Hospital, Ankang 725000,Shaanxi, CHINA; 2. Department of Geriatrics, Xijing Hospital, the Fourth Military Medical University, Xi'an 710000,Shaanxi, CHINA
【Abstract】 Objective To compare the clinical effects of lateral femoral and inguinal flap repair on burn scarsof hand and forearm skin. Methods A total of 74 cases of hand and forearm skin burn scars admitted to the Departmentof Burn at Ankang Central Hospital from July 2016 to March 2018 were selected as the study subjects, which were as-signed into the observation group and the control group according to the random number table method. Patients in the con-trol group (n=37) were treated with lateral femoral flap repair, and patients in the observation group (n=37) were treatedwith inguinal flap repair. The pedicle breaking time, flap survival rate, flap infection rate and the limb functional recoveryscore, skin recovery score of the two groups were compared. Results In the observation group, the pedicle time of skinflap was (21.98±2.42) days, which was significantly shorter than (29.33±3.87) days in the control group; the survival rateof the flap was 94.59%, which was significantly higher than 70.27% of the control group; the infection rate of that flap was2.70%, which was significantly lower than 13.51% of the control group; all differences were statistically significant (P<·论 著·doi:10.3969/j.issn.1003-6350.2018.24.020基金项目：陕西省科技厅资助项目(编号：20132350)