摘要
目的探讨第四跖背动脉逆行岛状皮瓣修复第二足趾再造手指后供区趾蹼皮肤缺损的临床应用效果。方法2007年1月~2009年12月,均为切取第二足趾再造手指时携带面积不等的跖背皮瓣13例患者的临床资料进行分析。结果术后13例转移皮瓣全部存活,术后随访时间为3~16个月,皮瓣质地、感觉良好,趾蹼外形满意,供足行走功能满意。结论最大限度地保护了供足的功能,减少了植皮后并发症,是较为理想的手术方式。
Objective To investigate the clinical application of fourth dorsal metatarsal artery retrograde island flap of second toe and finger reconstruction after donor toe web skin defect.Methods In 2007 January 2009 December,the clinical data were cut from the second toe and finger reconstruction with dorsal metatarsal flap area ranging from 13 patients were analysed.Results 13 cases were al flaps survived,and fol ow-up time ranged from 3 months to 16 months,the skin texture,feel good,toe web satisfactory appearance,for walking foot function satisfied.Conclusion Maximize the protection of the donor foot function,reducing the complications after skin grafting,is the ideal operation method.
作者
钱吹
王金昌
郑存汪
QIAN Chui;WANG Jin-chang;ZHENG Cun-wang(Wenzhou Hospital of Traditional Chinese Medicine,Wenzhou 325000,Zhejiang,China)
关键词
外科皮瓣
跖背动脉
再造
软组织缺损
修复
Surgical flap
Dorsal metatarsal artery
Reconstruction
Soft tissue defect
Repair
