摘要
目的分析吻合趾-指血管的(足母)甲瓣与足背逆行筋膜蒂皮瓣在拇指修饰性再造中的应用效果。方法对6例部分拇指缺损的患者,采用吻合趾-指血管的躅甲瓣移植修饰性再造拇指,同时行足背逆行岛状筋膜皮瓣转移修复供区躅趾的缺损,足背筋膜皮瓣供区用中厚层皮片植皮修复。术后拇指早期进行功能锻炼。结果 6例(足母)甲瓣和供区创面全部存活,拇指及(足母)趾外形满意,功能恢复良好。结论吻合趾-指血管的(足母)甲瓣移植修饰性再造拇指,同时对(足母)趾供区采用足背岛状筋膜蒂皮瓣进行逆行转移修复,此方法不仅缩短了手术时间,简化了传统的(足母)甲瓣移植术式,而且使再造的拇指获得良好的外形,达到精细的修饰性修复效果,同时提高了足部(足母)趾供区的修复质量,保护了患者的行走功能。
Objective To evaluate the results of aesthetic reconstruction of thumb with double flap transfer. Methods Six cases with lateral half defect of the thumb were treated double flap transfer. Wrap- around flap from the great too was harvested and transferred to the thumb by anastomosing the digital blood vessels of the too transplants and the thumb. Meanwhile the donor site was repaired with relrograde fascial pedicled dorsalis pedis flap. Defects on the dorsum of the foot were covered by split thickness skin graft. Results All the flaps and skin grafts survived. The appearance of both the repaired thumbs and donor great toes was good. Function of the thumbs including flexion and extension was satisfactory. Conclusion Aesthetic reconstruction of the thumb by wrap-around flap from the great too with direct digital-to-digital artery anastomosis can achieve satisfactory reconstruction with good appearance and function. Transfer of retrograde fascial pedicled dorsalis pedis flap can not only reduce operation time and simplify traditional surgical procedure but also obtain improved coverage of the donor site and better preserve gait of the donor foot.
出处
《中华手外科杂志》
CSCD
北大核心
2007年第4期208-210,共3页
Chinese Journal of Hand Surgery
关键词
指损伤
组织移植
外科皮瓣
修饰性再造
Finger injuries
Tissue transplantation
Surgical flaps
Decorative recomtruction
