王鹏

    [摘要] 目的 探讨对指端皮肤缺损患者行改良邻指皮瓣与腹部皮瓣治疗的修复效果。 方法 将2012年2月～2016年8月廊坊市人民医院收治的166例指端皮肤缺损患者作为研究对象，根据手术方式的不同进行分组研究。经改良邻指皮瓣治疗患者为99例，称为改良组；经腹部皮瓣手术治疗患者为67例，称为腹部组。观察并比较两组患者关节活动能力、住院时间、手术时间、随访评分等各项功能的恢复效果以及围术期临床指标的变化情况。 结果 改良组治疗优良率、手术时间、住院时间、患者随访评分、关节活动度、外观不满意率、痛觉敏感率、感觉麻木率以及两点辨别实验均优于腹部组(P < 0.05)。 结论 对指端皮肤缺损患者行改良邻指皮瓣治疗，能够改善各项临床指标；与腹部皮瓣治疗方式相比，能够进一步加快患者的恢复速度。

    [关键词] 改良邻指皮瓣；腹部皮瓣；指端皮肤缺损；修复

    [中图分类号] R68 [文献标识码] A [文章编号] 1673-7210(2017)10(c)-0089-04

    Remediation effect of modified cross finger flap and abdominal flap to perioperative clinical index of patients with fingertip skin defect

    WANG Peng

    Department of Orthopedics， Langfang People's Hospital， Hebei Province， Langfang 065000， China

    [Abstract] Objective To explore remediation effect of modified cross finger flap and abdominal flap treatment on patients with fingertip skin defect. Methods 166 patients with skin defect who had been treated in Langfang People's Hospita from February 2012 to August 2016 were selected as research objects. They were divided into modified group (99 cases) and abdominal group (67 cases) ......