摘要
目的为了改善足趾移植再造手指常见的外观缺陷，设计一种局部转移皮瓣手术。方法足趾移植再造的手指末节指腹膨大，手术设计舌形皮瓣转移至中节指腹，以改善再造手指末节膨大、中节狭细的外观。临床应用于9例患者，共21指再造手指。观察术后皮瓣成活、手指外观改善情况，测量手术前后手指关节活动度和两点辨别觉，评价手术效果。结果随访6—12个月，术后再造手指外观明显改善，中节与末节粗细均匀，长度比例更合理。再造手指手术前后关节活动度和两点辨别觉没有明显变化，皮瓣手术对再造手指的功能没有不良影响。手术没有皮瓣坏死、神经血管损伤、感染等并发症。结论应用局部转移皮瓣术可以改善足趾移植再造手指的外观。
Objective To design technique of local flap transposition to refine the aesthetic appearance of reconstructed fingers by toes transfer. Methods Nine cases with 21 reconstructed finger were included, which involved 6 males and 3 females with an average age of 21.8 years （range, 18-34 years）. A lingual contour flap with a lateral pedicle was shifted from the inflated distal pulp to the narrow middle part of the ＂finger＂ to refine the aesthetic appearance. Overall results were evaluated in terms of the survival of the flap, the appearance improvement and the functional influence of the reconstructed finger. Results All of the flaps survived and healed perfectly. After a mean follow-up of 9.3 months （range, 6-12 months）, the appearance of the reconstructed fingers were improved apparently. There was little influence on the function of the finger. The results showed that all the patients gained more acceptable fingers. Conclusion From our experience, local flap transposition is a useful method for remolding of reconstructed fingers by toes transfer.
出处
《中华显微外科杂志》
CSCD
北大核心
2008年第4期264-266,共3页
Chinese Journal of Microsurgery
关键词
指
足趾
移植
外科皮瓣
显微外科
Fingers
Toes
Transplantation
Surgical flaps
Mierosurgery
