摘要
目的探讨腹部分指包埋、二期植皮修复手指脱套伤的临床疗效,为临床治疗手指脱套伤提供可靠的方法。方法2017年1月-2020年8月,对收治的6例(11指)手指皮肤脱套伤患者,均应用腹部包埋、二期植皮修复,术后随访评估皮瓣外观、感觉恢复以及患指屈伸活动度。结果5例植皮成活,1例部分坏死。随访4~15个月,植皮质地良好,外形佳,感觉恢复满意,两点辨别觉为8~10 mm,平均8.5 mm。参照中华医学会手外科学会拇、手指再造功能评定试用标准评定:优4例,良1例,优良率83.3%。结论腹部分指包埋、二期植皮在修复手指脱套伤中,能够恢复较好的手指外形、感觉和运动功能,是一种治疗手指脱套伤尤其是多指脱套伤的有效方法,适宜临床推广。
Objective To investigate the clinical effect of abdominal separative finger embedding and second-stage skin grafting on repairing degloving injury of fingers,so as to provide a reliable method for clinical treatment of finger degloving injury.Methods From January 2017 to August 2020,6 patients(11 fingers)with degloving injury of fingers were treated with abdominal embedding and second-stage skin grafting.The appearance,sensory recovery and flexion and extension activity of the affected fingers were evaluated after the operation.Results Five cases of skin graft survived,1 case had partial necrosis,followed up for 4 to 15 months.The fingers had good appearance and soft texture.The two-point discrimination was 8 to 10 mm with an average of 8.5 mm.According to the evaluation and trial standard of thumb and finger reconstruction function of Chinese Medical Association Hand Surgery Association,5 cases were excellent,1 case was good,the excellent and good rate was 83.3%.Conclusion The abdominal separative of finger embedding and second stage skin grafting in the repair of finger degloving injury can make the patients recover better finger shape,feeling and motor function.It is an effective method to treat finger degloving injury,especially multi finger degloving injury,and is suitable for clinical promotion.
作者
吴凡
张文忠
许涛
刘宏君
WU Fan;ZHANG Wenzhong;XU Tao(School of Clinical Medicine,Yangzhou University,Yangzhou,Jiangsu,225000,China)
出处
《实用手外科杂志》
2022年第3期336-337,367,共3页
Journal of Practical Hand Surgery
关键词
手指脱套伤
腹部包埋
二期植皮
Finger degloving injury
Abdominal part finger embedding
Second stage skin grafting
