摘要
目的:探讨各种皮瓣对手指近、中、远节皮肤软组织缺损修复方法上的选择及应用.方法:1998年1月～2004年8月针对手指近中远节皮肤软组织缺损共99例病例分别采用6种皮瓣修复,其中包括局部血管蒂皮瓣和带皮蒂皮瓣,局部血管蒂皮瓣包括食指背岛状皮瓣、指动脉皮瓣、掌背动脉-指背动脉血管蒂逆行岛状皮瓣、邻指皮瓣、鱼际皮瓣、腹部带蒂真皮下血管网皮瓣.结果:全部成活,术后随访1～3年,皮瓣外形、血运、弹性、质地良好,手功能恢复满意.结论:手指皮肤软组织缺损的皮瓣覆盖面积相对较小,但对功能、外形、质地要求高,应根据具体情况及要求选择适宜的皮瓣修复,以期对手功能、外形恢复达到最佳.
Objective:To investigate the application and choice of all kinds of skin flaps in the repair of the skin soft tissue defect at fingers.Methods:Ninety-nine cases of soft tissue defects of fingers were repaired with six kinds of skin flaps. The operative methods includeded index finger dorsal island flap,digital artery flap,dorsal metacarpal artery-dorsal digital reversed island flap,neighboring finger flap,thenar flap,abdominal subdermal vascular network skin flap.Results:All surgical flaps of ninety-nine cases were survived.The postoperative follow-up period was 1 to 3 years,the appearance, the blood supply,elasticity and texture of flaps were fine.The restoration of hands function was satisfied.Conclusion:The skin soft tissue defect of fingers is a small area,but flaps are needed to be high quality. Appropriate flaps should be chosen according to the fact so that satisfactory function and appearance can be obtained.
出处
《实用临床医学（江西）》
CAS
2005年第5期64-66,共3页
Practical Clinical Medicine
关键词
外科皮瓣
手
指损伤
surgical flaps
finger injuries
treatment outcome
