摘要
用带感觉神经岛状皮瓣,吻合感觉神经皮瓣及感觉神经束植入皮瓣三种方法修复皮肤缺损及同时重建感觉功能144例,皮瓣全部成活。随访1～6年,皮瓣外观良好。温、触、痛觉恢复正常,两点鉴别觉在手部15～20mm,足底30～40mm,足底负重区未发生溃疡,有3例感觉神经束植入皮瓣,于近端用2％奴夫卡因封闭后皮瓣感觉消失,笔者认为感觉神经束植入皮瓣是修复皮肤缺损与感觉功能重建的理想方法。
The skin defect after serious injury in the hands and feet, denude bones, joints and tendons. The skin defect was repaired by microsurgical method in this group, in which the pedicle islandflaps 27 cases and free flaps 52 cases . The plantar sensory function is reconstructed in 51 cases by the sensory nervous island flap, anastomostic sensory nervoub flap and sensory nervous tract to implant to flap . After 2 to 5 years follow--up: the appearance of flap is good . The pain, temperature and tactile sense were recovered to normal in the planta pedis, and two points discrimination is higher. There was no limb to be amputated because its invalid. The arthor considers that the sensory nervous tract to implant into flap is a good method of reconstructing sensory function. The operative methods were introduced carefully in the article. The selection of method with repairing skin defect and reconstructing sensory function is discussed deeply and carefuly.
出处
《潍坊医学院学报》
1991年第2期99-101,共3页
Acta Academiae Medicinae Weifang
关键词
皮肤缺损
皮瓣
修复
感觉功能
skin defect
flaps
repair
wounds and injuries
sensory funitcon
microsurgey
