逆行筋膜蒂近节指背岛状皮瓣修复同指远端掌侧缺损  

Repairing the defects of volar surface of distal finger with a reverse insular fascial flap of dorsum of juxta positioned digit

作　　者：周洪春[1] 姜艳[1] 王利民[1] 王安利[1] 武永春[1] 

机构地区：[1]山东省烟台市莱阳中心医院烧伤整形科,265200

出　　处：《中华整形烧伤外科杂志》1999年第4期259-261,共3页

摘　　要：目的Ⅰ期修复近节指间关节以远部位的单或多个指远端掌侧皮肤软组织缺损。方法自1992年5月以来,应用逆行筋膜蒂近节指背岛状皮瓣旋转180°移转修复,共14例20个皮瓣。结果除1例皮瓣部分坏死外,余均成活。经6个月至1年随访,功能及外观均较良好,手指饱满而不臃肿。结论该术式操作简单,疗程短,痛苦少。皮瓣血供可靠,厚度适宜,柔软耐磨,成功率高。同指移转随意性强,多指远端同时损伤的修复其优越性尤为明显。Objective To introduce a method for one-stage repair of skin defects of the volar sur- face of distal finger or fingers.Methods The reverse fascial flap was designed and created on the dorsum of the juxta positioned digit,and it was then rotated 180 degrees to cover the defects of the volar surface of the distal finger.Since May 1992,a total of 20 reverse fascial flaps were used to treat 14 patients.Results All flaps survived except one with partial necrosis.Follow-up of one half to one year showed satisfactory results functionally and cosmetically.The finger is plump but not swollen.Conclusion The method is easy and effective.The surgical treatment requires short time and causes little pain.The flap has good blood supply,suitable thickness,softness and resistance to wear and tear.

关 键 词：手指组织缺损 皮瓣 修复 

分 类 号：R658.2[医药卫生—外科学]