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改良Moberg皮瓣在指端缺损修复中的应用 被引量:3

Use of a modified Moberg flap for repair of fingertip and pulp defect
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摘要 目的运用改良Moberg皮瓣修复指端软组织缺损 ,避免术后发生末节指背侧皮肤坏死并获得良好的指腹外形。 方法首先将一侧的指固有神经血管束包纳入皮瓣中 ,以保证对皮瓣的血供 ,保留另一侧的血管束在原指位 ,以保证术指血供的完整。其次 ,相向缝合创面远端两边残三角形皮肤瓣 ,增加推进皮瓣的绝对长度 ,减少整个指掌侧皮瓣的剥离范围。结果本组 9例 ,在手术结束时已确定皮瓣和手指血供的完整 ,随访无 1例坏死 ,再造指腹外形满意。结论同时二处改良Moberg皮瓣是可靠、有效的修复指尖和指腹的方法。 Objective To introduce the application modified Mobergs flap to avoid ischemic necrosis of the dorsal skin of the distal finger and to obtain cosmetic contour of the terminal pulp after operation. Methods First, one of the neurovascular bundles was included in the flap to supply the flap and another bundle was left in the original position to supply the finger. Second, the residual skin flaps of the distal injured surface were sutured together, not only to increase length of the flap but also to reduce dissected distance of the digital volar advancement flap. Results In 9 cases, the blood supply of the flap and the finger were intact after operation no necrosis was founded at follow-up, and the reface of the terminal pulp was satisfactory. Conclusion The modified Moberg flap in two sites at the same time is a new,available and reliable method for repair of the finger tip and pulp defect.
作者 胡鸿泰
出处 《上海第二医科大学学报》 CSCD 2004年第12期990-991,995,共3页 Acta Universitatis Medicinalis Secondae Shanghai
关键词 皮瓣修复 血供 指端缺损 改良 修复 皮肤坏死 末节 发生 应用 长度 Moberg flap modified flap terminal pulp defect repair
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参考文献10

  • 1Moberg E. Aspects of sensation in reconstructive surgery of the upper extremity[J]. J Bone Joint Surg, 1964,46(A): 817 -825.
  • 2Show MH. Neurovascular island pedicle flaps for terminal digital scars a hazard[J]. Br J Plast Surg, 1971,24: 161 -165.
  • 3张抒,蔡锦方.Wu指皮肤缺损的急诊修复[J].手外科杂志,1992,8(4):211-212. 被引量:1
  • 4任志勇,王成琪,颜晗,王剑利,孙国峰.全指掌侧岛状皮瓣推进修复指端缺损和疤痕挛缩[J].中华整形烧伤外科杂志,1993,9(2):91-92. 被引量:2
  • 5陈爱民 侯春林.带指固有血管蒂的指掌侧推进皮瓣[J].中华手外科杂志,1996,12(2):176-176.
  • 6陈玉兵,王群殿,黄威.改良全指腹皮瓣前移修复指腹缺损[J].中国修复重建外科杂志,2000,14(3):186-186. 被引量:1
  • 7Bene MD, Petrolati M, Raimond P, et al. Reverse dorsal digital island flap [ J ]. Plast Reconstr Surg, 1994,93: 552 - 557.
  • 8Bertelli JA, Pagliei A. Direct and reversed flow proximal phalangeal island flaps[J]. J Hand Surg,1994,19(A): 671 -680.
  • 9Macht SD, Watson HK. The Moberg volar advancement flap for digital reconstruction[ J]. J hand Surg,1980,5: 372 -376.
  • 10Foucher G, Delaere O, Citron N ,et al. Long-term outcome of neurovascular palmar advancement flaps for distal thumb injuries[ J ]. Br J Plast Surg, 1999,52:64 -68.

二级参考文献4

  • 1陈爱民 侯春林.带指固有血管蒂的指掌侧推进皮瓣[J].中华手外科杂志,1996,12(2):176-176.
  • 2韩风华,中华整形烧伤外科杂志,1987年,3卷,91页
  • 3陈爱民,中华手外科杂志,1996年,12卷,2期,126页
  • 4徐达传,手功能修复重建外科解剖学,1996年,128页

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