桡动脉掌浅支皮瓣与动脉化静脉皮瓣用于修复手指软组织缺损疗效评估的Meta分析OA

Objective To evaluate the clinical efficacy of superficial palmar branch of radial artery flap(SPBRAF)and arterialized venous flap(AVF)in repairing soft tissue defects of fingers.Methods Relevant literatures comparing the efficacy of SPBRAF and AVF in repairing finger defects from January 2000 to June 2024 were retrieved from CNKI,Wanfang Data Knowledge Service Platform,VIP,PubMed,Embase,Cochrane Library,and Web of Science.Meta-analysis was conducted using RevMan5.4 software,with flap survival rate,operation time,finger range of motion,finger sensory recovery,and complication rate as outcome indicators.Results A total of 10 studies were included,involving 539 cases.Among them,272 cases were repaired with SPBRAF and 267 cases with AVF.The results of the Meta-analysis showed that the flap survival rate was higher in SPBRAF group(OR:4.37,95%CI:2.03-9.41,Z=3.77,P=0.0002),the finger range of motion was better(OR:5.58,95%CI:2.71-11.48,Z=4.66,P<0.000 01),the two point discrimination(MD:-0.96,95%CI:-1.52--0.39,Z=3.33,P=0.0009)and sensory function classification(OR:3.79,95%CI:1.88-7.62,Z=3.73,P=0.0002)were better,and the incidence of complications was lower(OR:0.48,95%CI:0.24-0.95,Z=2.12,P=0.03).The operation time was shorter in AVF group(MD:14.88,95%CI:7.10-22.66,Z=3.75,P=0.0002).Conclusion Both SPBRAF and AVF can be used for the repair of soft tissue defects in fingers.However,SPBRAF performs better in terms of flap survival rate,finger range of motion,sensory recovery,and complication rate,while AVF has an advantage in operation time.