复合组织移植一期修复复杂指背腱膜损伤  

Primary repair of complicate defects of extensor apparatus with complex tissue transplantation

作　　者：廖坚文[1] 张振伟[1] 庄加川[1] 张家俊[1] 蔡凌[1] 李征[1] 余少校[1] 

机构地区：[1]深圳市沙井人民医院手外科,广东深圳518104

出　　处：《中国临床解剖学杂志》2007年第1期98-100,共3页Chinese Journal of Clinical Anatomy

基　　金：深圳市科技局科研基金项目(200304267)

摘　　要：目的:报道应用复合组织移植一期修复复杂指背腱膜损伤的临床疗效。方法:采用掌背动脉为蒂带肌腱手背逆行岛状皮瓣、足背动脉为蒂带趾长伸肌腱复合组织皮瓣及肌腱移植锁骨下带蒂皮瓣3种方法修复,为36例合并皮肤缺损的复杂指背腱膜损伤进行急诊修复。结果:36例全部成活,随访1￣5年,按TA M功能评定法:优11例、良20例、差5例,优良率86.1%。结论:(1)对合并皮肤缺损的复杂指背腱膜损伤根据伤情,较大面积的手背手指皮肤肌腱缺损,以足背动脉为蒂带趾长伸肌腱复合组织皮瓣修复;(2)手指近节皮肤肌腱缺损,以掌背动脉为蒂带肌腱手背逆行岛状皮瓣修复;(3)手指中远节皮肤肌腱缺损,以肌腱移植锁骨下带蒂皮瓣修复,可获得良好疗效。Objective： To explore the clinical effects of complex tissue transplantation on repairing defects of extensor apparatus. Methods： 36 cases of extensor apparatus defects accompanied with skin and tendon injuries in fingers were treated respectively by retrogradating island flap pedicled with dorsal metacarpal arteries, free flap of long extensor muscle of toes pedicled with dorsal artery of foot, pedicled skin flap and tendon transplantation. Results： After following up 1 to 5 years, flaps of 11 cases survived well, 20 good, 5 poor. The repairing rate was about 86.1%.Conclusions： The results will be satisfactory if repair methods are chosen properly for different defects of skin and extensor tendon of finger.

关 键 词：指背腱膜 腱损伤 修复 

分 类 号：R616.2[医药卫生—外科学] R658.2[医药卫生—临床医学]