不同期拇指断离伤之坶甲皮瓣附带趾骨片修复效果  

REPALR OF SEVERED THUMB IN DIFFERE-NT STAGES BY USING FREE NEUROVASCU-LAR LARGE TOE-NAIL SKIN FLAP

作　　者：候明钟[1] 袁启智[1] 黄燮青[1] 缪勇[1] 蔡燕娴[1] 

机构地区：[1]上海市第一人民医院

出　　处：《中华显微外科杂志》1994年第4期251-251,共1页Chinese Journal of Microsurgery

摘　　要：４例不同期拇指断离伤或脱套伤，用甲皮瓣包拇指骨、关节和肌腱复合组织，长期随访发现，不管自体骨与异体骨，均有类似关节失神经营养支配的改变。甲皮瓣附着趾骨片镶嵌在拇指骨上，对恢复指关节的神经血管营养支配有益。异体手指－３０℃冷存５年，剥皮移植在甲皮瓣内能够存活。AbstractFour cases of severed thumb in different stages were repaired with the free neurovaseu-lar large toe-nail skin flap. blood circulation of bones, joints and tendons of thumbs freshlysevered or ischemic necrosed both autogenous and allogenous which was preserved in refrig-crator, was restored after wrapping with tne toe-nail skin flap.Long-term follow-up showedthat deterioration of joints wad evident. It ispossible due to the denerveted effect of the joints.It is necessary to recover it’s innerva-tion.In one case,the thumb was reconstruct edusing allogenic phalanx-joint-tendon compositetissue which had been preserved in refriger-ator below-30℃ for five years in order toreduce antigenicity It was turned out to bethat preservcd in refrigerator could reducethe antigenicity of allogenous thumb.

关 键 词：MU甲皮瓣 拇指 创伤 修复术 疗效 

分 类 号：R658.1[医药卫生—外科学]