用于手和手指重建的螺旋穿孔:系统性审查
John Bovill1, Samuel Huffman1,2, Gina Cach1
1Georgetown University School of Medicine, Washington, Dist. of Columbia, United States.
Journal of hand and microsurgery
|June 10, 2024
概括
螺旋穿孔 (PPF) 为手部重建提供了一种可靠的方法,有效地覆盖缺陷,生存率高. 并发症通常是轻微的,没有进一步的干预就会消失,使PPF成为一个有价值的外科选择.
科学领域:
- 整形外科 整形外科 整形外科
- 微手术 微手术是一种微手术.
- 重建性手术是一种重建性手术.
背景情况:
- 螺旋穿孔 (PPF) 越来越多地被利用,因为它们的设计灵活性和在不损害主要船只的情况下重建缺陷的能力.
- 现有的文献缺乏关于使用PPF用于复杂的手部重建的具体指导.
- 这项研究解决了在手部重建中对PPF技术进行全面审查的需要.
研究的目的:
- 系统地审查和评估当前关于螺旋穿孔 (PPF) 用于手部重建的应用文献.
- 评估各种PPF技术在修复手部和数字缺陷方面的有效性和安全性.
- 为在上肢重建中考虑使用PPF的外科医生提供指导.
主要方法:
- 按照PRISMA指导方针进行了系统的文献审查,搜索了1991年至2021年的研究数据库.
- 包括专注于螺旋穿孔 (PPF) 的研究,用于手和手指缺陷,不包括其他上肢或下肢重建.
- 提取的数据包括研究特征,患者人口统计,片类型,生存率和并发症.
主要成果:
- 该审查包括25项研究,涉及525名患者和613个螺旋穿孔 (PPF) 用于手/手指重建.
- 整体片存活率高达97.8%,急性伤口是最常见的征兆 (72.9%).
- 在19.8%的病例中出现并发症,但大多数情况下没有进行次要手术就得到解决,导致2.1%的低叶片故障率.
结论:
- 螺旋穿孔 (PPFs) 证明了可靠性和有效性,用于重建手和手指的缺陷.
- 这些片允许缺陷覆盖,而不牺牲必要的局部血管系统,保持功能.
- 尽管出现了显著的并发症率,但大多数问题是可以管理的,支持PPF作为一个可行的重建选择.
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