文章摘要
卢建国,杨庆达,苏瑞鉴,等.改良掌背动脉穿支蒂营养皮瓣修复手指软组织缺损.骨科,2015,6(3): 149-151.
改良掌背动脉穿支蒂营养皮瓣修复手指软组织缺损
Repairing skin defect of finger with modified palm back artery perforating branches skin flap
投稿时间:2014-12-23  
DOI:10.3969/j.issn.1674-8573.2015.03.009
中文关键词: 外科皮瓣  手指  软组织损伤  外科手术,微创性
英文关键词: Surgical flaps  Finger  Soft tissue injuries  Surgical procedures, minimally invasive
基金项目:
作者单位E-mail
卢建国 537100 广西贵港贵港市中西医结合骨科医院创伤科 ljg18978773040@163.com 
杨庆达 537100 广西贵港贵港市中西医结合骨科医院创伤科  
苏瑞鉴 537100 广西贵港贵港市中西医结合骨科医院创伤科  
梁波 537100 广西贵港贵港市中西医结合骨科医院创伤科  
张智钊 537100 广西贵港贵港市中西医结合骨科医院创伤科  
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中文摘要:
      目的 探讨应用改良掌背动脉穿支蒂营养皮瓣修复手指软组织缺损的临床疗效。方法 2008年1月至2014年3月,应用改良掌背动脉穿支蒂营养皮瓣修复85例手指皮肤软组织缺损,按中华医学会手外科学会上肢部分功能评定试用标准评价疗效。结果 85例皮瓣均成活,皮瓣切取面积2.5 cm×1.2 cm~6.3 cm×3.8 cm。2例术后因肿胀引起蒂部卡压,拆除部分缝线后皮瓣肤色逐渐恢复正常,1例术后出现感染,部分边缘坏死,抗感染及换药后愈合。68例获得随访,随访时间6~24个月,获得随访的皮瓣外形及色泽满意,无明显臃肿,重建感觉的皮瓣两点辨别觉恢复至6~10 mm。中华医学会手外科学会上肢部分功能评定试用标准评价:优53例,良10例,可5例,优良率92.6%(63/68)。结论 改良掌背动脉穿支蒂营养皮瓣血供可靠,手术操作简单,术后护理简便,感觉、功能恢复良好,易于在基层医院推广。
英文摘要:
      Objective To explore the clinical curative effectiveness of modified palm back artery perforating branches skin flap for repair of finger soft tissue defects. Methods From Jan. 2008 to Mar. 2014, modified palm back artery perforating branches skin flap was used to repair finger skin and soft tissue defects in 85 cases. The curative effectiveness was evaluated by the upper extremity function assessment standard issued by Hand Surgery Branch of Chinese Medical Association. Results Eighty-five flaps survived after operation. The area of flap ranged from 2.5 cm×1.2 cm to 6.3 cm×3.8 cm. Postoperative swelling induced by pedicle compression occurred in 2 cases, and after removal of part of sutures the flap gradually retuned to the normal color. Postoperative infection with some marginal necrosis occurred in one case, and healed after anti-infection therapy and dressing. Sixty-eight flaps were followed up for 6 to 24 months, and the shape and color of the flaps were satisfactory. There was no obvious bloated feeling. The two-point discrimination of the flaps after sense reconstruction recovered to 6-10 mm. The curative effectiveness was as follows: excellent in 53 cases, good in 10 cases, fair in 5 cases, with the excellent and good rate being 92.6% (63/68). Conclusion The modified palm back artery perforating branches skin flap has reliable blood supply, and simple operation. Postoperative nursing is simple. The sense functional recovery is satisfactory.
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