双皮下蒂V—Y推进皮瓣修复指端缺损及疗效观察  

Bilaterally pedicled V-Y advancement flap for fingertip defect reconstruction and long-term outcome

作　　者：周飞亚[1] 高伟阳[1] 吴剑彬[1] 李志杰[1] 蒋良福[1] 池征[1] 张弦[1] 

机构地区：[1]温州医学院附属第二医院手外科,浙江325027

出　　处：《中华手外科杂志》2010年第3期162-164,共3页Chinese Journal of Hand Surgery

基　　金：基金项目：温州市科技局重点项目基金（y20080082）

摘　　要：目的采用双皮下蒂V—Y推进皮瓣修复指端皮肤缺损并观察其治疗效果。方法双皮下蒂V-Y推进皮瓣修复39例39指指端缺损，指端皮肤缺损面积均小于或等于1．2cm2。随访检测患指指腹外观、持物和关节活动度以及出汗情况、感觉等指标。结果术后39指指端缺损皮瓣完全存活。术后1年随访，外观、出汗情况、持物稳定性、关节活动范围等令人满意。39指痛觉全部恢复，触觉迟钝者仅有7．7％，46．1％的患者两点分辨觉恢复到正常范围内，实体感觉综合能力恢复达优者占92．3％。结论选择双皮下蒂V-Y推进皮瓣修复末节指端缺损是有效而简单的方法，并可获得良好的修复外形及功能。Objective To intreduce bilaterally pedicled V-Y advancement flap for fingertip reconstruction and evaluate the long-term outcomes. Methods Bilaterally pedicled V-Y advancement flap was performed in 39 patients （39 digits） who had fingertip defects of no more than 1.2 cm2 in size. Postoperatively the appearance of the pulp, gripping, joint movement, sweating and sensation were evaluated. Results All the flaps survived. The finger contour, perspiring, prehension and range of motion, which were evaluated at one year postoperative follow-up, were satisfactory. Pain sensation was recovered in all 39 patients. Impaired touch sensation was noted in 7.7% of the cases, 46.1% of the cases achieved normal two-point discrimination, and 92.3% achieved good stereognosis. Conelusion The bilaterally pedicled V-Y advancement flap is a simple and practical procedure for fingertip reconstruction, which can achieve good cosmetic and functional results.

关 键 词：治疗结果 外科皮瓣 指损伤 

分 类 号：R658.2[医药卫生—外科学]