Analysis of the efficacy of emergency microsurgery repair for retrograde avulsion injury of hand skin
10.3760/cma.j.issn.1008-6706.2017.12.020
- VernacularTitle:急诊显微手术修复手部皮肤逆行撕脱伤的疗效分析
- Author:
Chaoguang LI
;
Hesong YU
;
Ziran ZHENG
- Keywords:
Microsurgery;
Hand Injuries;
Skin;
Emergency Treatment
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(12):1832-1834
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and safety of emergency microsurgery repair for retrograde avulsion injury of hand skin.Methods 36 patients with retrograde avulsion injury of hand skin were randomly divided into research group and control group,18 cases in each group.The control group was treated with flap free re-implantation,and the research group was treated with emergency microsurgical repair.The clinical efficacy of the two groups was compared.Results The effective rate of the research group was 94.44%,which was higher than 66.67% of the control group(x2=4.433,P<0.05).The duration of operation,bleeding and hospitalization time in the study group were better than those in the control group(t=-5.523,-4.889,-3.690,all P<0.05).The survival rate of the research group was (95.54±4.21)%,which was higher than (73.22±6.44)% of the control group(t=12.308,P<0.05).The proportion of beautiful skin recovery of the research group was 88.99%,which was higher than 66.67% of the control group(x2=4.985,P<0.05).Conclusion Emergency microsurgery repair for patients with retrograde avulsion injury of hand skin can improve the efficacy of treatment and the survival rate of skin,which is beneficial to the recovery of skin,and can improve the function and appearance of the patients.The effect is remarkable,and it is worthy of popularization and application.
