指神经血管蒂推进皮瓣修复指端缺损  

Fingertip repairment with a palmar advancement island flap

作　　者：胡必寺[1] 沈华[1] 

机构地区：[1]上海市第一人民医院骨科,200080

出　　处：《实用手外科杂志》1999年第4期197-198,共2页Journal of Practical Hand Surgery

摘　　要：目的 介绍指掌侧血管神经蒂推进皮瓣修复指端缺损的方法和临床效果.方法 按Littler法,在指残端设计皮瓣,分离血管神经蒂,以增加皮瓣推进距离,用于重建长度在2.2cm范围内的指端创面.1998年以来,应用6例,指端创面长度1.5-2.2cm.结果 皮瓣全部成活,随访3-12月,外形,感觉满意.结论 指掌侧血管神经蒂推进皮瓣,手术简单,效果确切,可修复长度在2.2cm范围内的指端缺损.ve To introduce the operation method and clinical results of fingertip reconstruction with a palmar advancement island flap. Methods According to Littler's method, a palmar advancement island flap was designed near the fingertip wounds. The neurovascular pedicle was dissected so that the distance of advancement was increased, and the flap was suitable for reconstruction of fingertip defects that were not longer than 2.2cm. The flaps were used to cover 6 cases of fingertip defect with the length from 1.5 to 2. 2cm since 1998. Results All the flaps survived. They were followed up for 3 to 12 months. The appearance and sensation were satisfactory. Conclusions The technique is simple and effective. The flap was suitable for reconstruction of fingertip defects that were no more than 2. 2cm in length.

关 键 词：推进皮瓣 指端缺损 血管神经 修复 指神经血管蒂 创面 残端 范围 增加 目的 

分 类 号：R658.2[医药卫生—外科学] R622.1[医药卫生—临床医学]