应用指蹼矩形瓣联合双指侧三角瓣整复严重指蹼瘢痕挛缩畸形  

The use of web-space rectangular flap combined with bilateral triangular flaps to repair the web-space scar contracture

作　　者：宋慧锋[1] 柴家科[1] 陈敏亮[1] 陈宝驹[1] 柳春明[1] 许明火[1] 京萨[1] 吴焱秋[1] 

机构地区：[1]解放军总医院第一附属医院(原304医院)烧伤整形科,全军烧伤研究所,北京100037

出　　处：《中国美容医学》2008年第4期487-488,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:采用指蹼矩形瓣联合双指侧三角瓣整复指蹼瘢痕挛缩畸形。方法:2003年1月以来,采用指蹼矩形瓣联合双指侧三角瓣整复指蹼瘢痕挛缩畸形者47例,其中男性32例,女性15例;多个指蹼瘢痕挛缩畸形者42例,总计指蹼瘢痕挛缩畸形139例次;烧伤面积最大者95%,最小者2%;年龄最大者54岁,年龄最小者2岁;烧伤至整复间隔时间最长者10年,最短者5个月,平均2年。结果:139例次指蹼瘢痕挛缩畸形,经指蹼矩形瓣联合双指侧三角瓣转移修复后,各指蹼瘢痕挛缩彻底松解,经6个月～5年随访,效果十分满意。结论:采用指蹼矩形瓣联合双指侧三角瓣,指蹼瘢痕瓣血运良好,术后早期即可开始功能锻炼,远期观察未见挛缩,有利于掌指关节及指蹼的功能恢复,是指蹼瘢痕挛缩畸形修复可供选择的一种有价值的方法。Objective To explore the efficacy of web-space rectangular flap combined with bilateral triangular flaps to repair the web-space scar contracture. Methods From Jan 2003, one hundred and thirty nine web-space scar contractures were repaired with web-space rectangular flap combined with bilateral triangular flaps. Results All the web-space scar contractures were released and repaired completely. The functions and configurations were satisfactory after six months to five years follow-up. Conclusion Web-space rectangular flap combined with bilateral triangular flaps is an ideal method to repair the web-space scar contracture.

关 键 词：皮(瘢痕)瓣 指蹼 瘢痕挛缩 

分 类 号：Q813.1[生物学—生物工程]