皮瓣修复腕部高压电烧伤创面的手术时机选择
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(娄底市第一人民医院,湖南 娄底 417000)

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王浪,男,主治医师,主要研究方向是烧伤救治慢创修复。

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R 647

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Timing of Operation for Repairing Wounds of Wrist with High-Voltage Electric Burn with Skin Flap
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(The First People's Hospital of Loudi City, Hunan Loudi 417000)

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    摘要:

    〔摘 要〕 目的:分析对腕部高压电烧伤患者创面进行手术修复的过程中选取不同手术时机对于患者治疗效果的影响。 方法:选取2018年11月至2019年11月期间娄底市第一人民医院烧伤整形外科收治的100例腕部高压电烧伤患者为研究对象, 依据手术时机的不同将其分为对照组和观察组,各 50 例。对照组患者经其他治疗后进行皮瓣修复治疗,观察组患者在受伤 当日即进行皮瓣修复治疗,对两组患者临床治疗效果进行比较。结果:观察组患者手术用时、皮瓣移植面积以及住院用时 情况均优于对照组,差异具有统计学意义(P < 0.05);在清创后面积方面,组间比较,差异无统计学意义(P > 0.05)。 在患者恢复情况方面,观察组患者在桡神经、尺神经、正中神经、中腕部屈曲能力以及屈指肌腱功能等方面的恢复效果均 优于对照组,差异具有统计学意义(P < 0.05)。结论:在对腕部高压电烧伤患者进行皮瓣修复的过程中,尽早开展手术, 对于患者手术指标与功能恢复的优化具有一定价值。

    Abstract:

    〔Abstract〕 Objective To analyze the effect of different surgical timings on the treatment effect of different selections of surgical timing in the process of surgical repair of the wounds of patients with high-voltage electrical burns of the wrist. Methods From November 2018 to November 2019, 100 patients with wrist high-voltage electrical burns admitted to the Department of Burns and Plastic Surgery of Loudi First People's Hospital were selected as the research objects, and they were divided into two groups according to the timing of the operation. There were 50 cases in the control group and 50 cases in the observation group. Patients in the control group were treated with flap repair after other treatments, and patients in the observation group were treated with flap repair on the day of injury. The clinical treatment effects of the two groups of patients were compared. Results The operation time, flap transplantation area, and hospitalization time of the observation group were better than those of the control group, and the difference was statistically significant (P < 0.05); in terms of area after debridement, there was no statistically significant difference between the groups (P > 0.05). In terms of patient recovery, the observation group was better than the control group in terms of radial nerve, ulnar nerve, median nerve, middle wrist flexion ability, and flexor tendon function, and the difference was statistically significant (P < 0.05). Conclusion In the process of repairing skin flaps for patients with high-voltage electrical burns of the wrist, the operation is carried out as soon as possible, which is of positive value for the optimization of the patient's surgical indicators and functional recovery.

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  • 收稿日期:2021-05-21
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  • 在线发布日期: 2021-11-10
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