吻合头静脉及桡神经浅支的营养血管筋膜皮瓣的应用研究

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1、万方数据山东人学硕十学位论文groupwerewithoutanastomosisofcephalicveinandsuperficialbranchofradialnerve．including24malesand10females，aged25-54．Thecausesofinjurieswerecuttinginjury(7patients)，machinesrelatedinjury(19patients)，trafficrelatedinjury(5patients)，burningin

2、jury(3patients)．Thetypesofinjuriesweretheskindefectofdorsal—ulnarthumb(15patients)，theskindefectofdorsal—radialisthumb(14patients)，theskindefectofthemiddleandfarsectionoftheindexfingerandthemiddlefinger(5patients)．Therewere14caseswithtendoninjuriesand

3、10caseswithfracture，15caseswithselectiveoperation，19caseswithemergencyoperation．Results：Thedegreeofflapswellingwasshownbycomputationofthecircumferenceoftherecipientareabeforesurgery,immediatelyaftersurgeryandat3daysaftersurgery．8swellingoccurredintrea

4、tmentgroup(25％)，and18swellingoccurredincontrolgroup(53％)，thedifferencewasstatisticallysignificant(p20．0202)，theflapswellingisgreatlydecreasedthanthatofthecontrolgroup．Venouscongestionwasseenin7patientsintreatmentgroup(21．9％)，and17patientsincontrolgrou

5、p(50％)，thedifferencewasstatisticallysignificant(p=0．0176)，thefvenouscongestionisgreatlydecreasedthanthatofthecontrolgroup．Blisteroccurredin6patientsintreatmentgroup(18．8％)，and15patientsincontrolgroup(50％)，thedifferencewasstatisticallysignificant(p20．0

6、270)，theoccurrenceofblisterisgreatlydecreasedthanthatofthecontrolgroup．Anti．inflammatory，anti-coagulantandanti-paralysistherapywasusedintreatmentgroup．therewere2casesofbruisingofflapmargin(6．25％)，thebloodsupplyturnedbetteraftersuturedismantled．Intheco

7、ntrolgroup，therewere14casesofbruisingofflapmargin，12casesofnecrosisofflapmargin，thewoundwasthentreatedwithdebridementandskingraft．thedifferenceofflapmarginnecrosiswasstatisticallysignificantbetweenthetwogroups(p20．0002)，theoccurrenceofflapmarginnecros

8、isisgreatlydecreasedthanthatofthecontrolgroup．Theaveragedaysofhospitalizationofthetreatmentgroupwas19．2±4．9days4万方数据山尔人!学硕十学能论文(14～38)，thatofthecontrolgroupwas25．1±5．6days(16～45)，thedifferencewasstatisticallysignificantbetweenthetwogroups(p--0