摘要
目的探讨静脉动脉化的方法在"窄蒂逆行皮瓣"型指背皮肤逆行撕脱伤中的临床应用效果。方法2013年1月-2018年1月,对10例"窄蒂逆行皮瓣"型指背皮肤逆行撕脱伤患者,采用同指指动脉转位与撕脱皮肤皮下静脉吻合,使逆行撕脱皮肤获得良好血供,以便其顺利成活。结果术后逆行撕脱皮肤成活好,外观良好,瘢痕增生轻、色素沉着轻。结论静脉动脉化是治疗"窄蒂逆行皮瓣"型指背皮肤逆行撕脱伤的有效方法。
Objective To summarize the clinical efficiency of applying venous arterialization on the treatment of retrograde avulsion injury with"narrow slender pedicle"of the dorsal skin of finger.Methods The subcutaneous vein of the retrograde avulsion skin was anatomosed with the non-dominant dorsal digital artery to provide sufficient blood supply which would successfully survived.Results The retrograde avulsion skin survived uneventfully with good appearance,mild hyperplastic scar and light pigmentation.Conclusion It is demonstrated that venous arterialization is an effective method for the treatment of retrograde avulsion injury with"narrow slender pedicle"of the dorsal skin of finger.
作者
赵四方
ZHAO Sifang(Department of Orthopedics,Nantong Tongzhou Hospital of TCM,Nantong,Jiangsu,226300,China)
出处
《实用手外科杂志》
2020年第4期422-424,433,共4页
Journal of Practical Hand Surgery
