Abstract
To study on the clinical efficacy of the repairing of the toe defect of the tip of the toe artery with skin flap. 48 patients with tip of toe defects who were admitted to our department from May 2014 to December 2015 were randomly divided into two groups: control group and observation group, 24 cases in each group. The patients in the control group were treated with abdominal pedicle flap while the patients in the observation group were treated with the toe artery skin flap for repair. The clinical curative effect of the two groups was analyzed. The total effective rate of clinical treatment was 23 (95.83%) in the observation group was significantly higher than that in the control group, 19 (79.16%), and the elasticity and texture of the flap were good and no obvious adverse reaction occurred. The difference between the two groups was significant, p<0.05. The use of the toe artery skin flap for the treatment of the tip of toe defect has a significant clinical effect, and no serious adverse reactions occurred, highly safety.
15
To explore the clinical application of three-row stapler in the operation of gastric cancer, and to provide a reference for clinical application. 31 patients with gastric cancer from January 2015 to April 2017 were randomly divided into observational group and control group. The observational group (n = 16) received three rows of the stapler; the control group (n = 15) received two rows of the stapler. The general condition, complication and anastomotic condition of the two groups were recorded, and the occurrence of anastomotic leakage was tested by methylene blue test. There was no significant difference in the operation time between the two groups ( P> 0.05). The length of stay in the hospital for the observational group was (16.17 ± 5.25) d, which was significantly lower than that of the control group (22.35 ± 7.18) d, the difference was statistically significant (P < 0.05). The incidence of complications was 7.14%, which was significantly lower than that of the control group (26.67%, P < 0.05). The number of bleeding in the anastomosis of the observational group was (0.87 ± 0.61), and the number of the outermost anastomosis was 0.95 ± 0.49, which was significantly lower than that of the control group (P<0.01). In the observational group, only one case (6.28%) was positive in the methylene blue test, which was significantly lower than that in the control group (20%) (P < 0.05). Three-row stapler can be used to treat the traditional two-row nail stapler, and no external reinforcement is needed after anastomosis. At the same time, it can effectively control the anastomotic bleeding, outer ring nail exposure and anastomotic leakage complications occur and clinical hospital stays shorter, more efficient treatment, worthy of clinical application.