手贯通伤复合组织缺损修复19例临床分析  

Repair of Tissue Defect for 19 Cases Patients of Palm Penetrating Wound with Flaps

作　　者：劳克诚[1] 李安富[1] 卢廷胜[1] 

机构地区：[1]中国人民解放军第401医院骨科,266071

出　　处：《青岛医药卫生》2009年第3期182-183,共2页Qingdao Medical Journal

摘　　要：目的探讨足复合皮瓣一期修复手贯通伤复合组织缺损的临床效果。方法1996年1月至2008年1月,我们依据足背动脉在足部发出各分支的解剖特点,以足背动脉为主干,选择2个或2个以上的足背动脉分支为血管蒂,设计不同的足复合皮瓣,修复手贯通伤复合组织缺损,临床应用19例。结果本组19例皮瓣全部成活。随访12个月至3年,外形满意,皮纹清晰,两点分辨觉5-7mm,手指功能良好。结论依据足背动脉在足背部发出分支的解剖特点,根据手掌背创面的大小、距离的远近,选择足背动脉不同的分支为血管蒂并设计复合皮瓣,血供可靠,手术简便、实用,足部是修复手贯通伤复合组织缺损的良好供区。Objective To report the clinical results of flaps from the foot to repair tissue defect for palm and dorsum of hand. Methods From January 1996 to January 2008, according to the anatomical character of ramification of the dorsal pedal artery and the wound shapes, skin of dorsum of foot was disintegrated into multiform flaps to repair tissue defect for palm penetrating wound. This operation was used to treat 19 cases of tissue defect for palm and dorsum of hand with bone tendon and nerve loss and skin defect on both palm and dorsal aspects of the hand. Results All of flaps survived. Follow-up period ranged from 12 months to 3 years. Bone healing was achieved in all cases. 2 point discrimination recovered to 5- 7mm. Both appearance and texture of the flaps were good. Conclusion Various flaps may be designed to recover palm penetrating wound according to the anatomical character of ramification of the dorsal pedal artery and the wound shapes. Operation is convenient and practical. Foot is the good donor to recover tissue defect for palm penetrating wound.

关 键 词：手贯通伤 组织缺损 显微外科手术 修复 

分 类 号：R622[医药卫生—整形外科]