腹部S型皮瓣修复手部多指脱套伤的经验与教训  

REPAIR OF MULTIPLE FINGERS DEGLOVING INJURY WITH ABDOMINAL“S”-TYPE SKIN FLAP

作　　者：宫可同[1] 张建兵[1] 阚世廉[1] 费起礼[1] 孔令震[1] 

机构地区：[1]天津医院手外科,天津300211

出　　处：《中国修复重建外科杂志》1999年第6期332-334,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　对腹部S型皮瓣修复手部多指脱套伤进行总结。方法　1994 年～1997年对47 例手部多指脱套伤在腹部侧方做S型切口,形成两个基底相反的皮瓣,将两皮瓣对合成袋状,同时直接关闭腹部伤口,最后将患手指置于袋状皮瓣之中,一期修复创面。结果　术后除1 例因感染导致手术失败,其余创面均Ⅰ期愈合。结论　腹部S型皮瓣是修复手部多指脱套伤的一种很实用的手术方法,且操作简便,安全可靠,供区隐蔽。Objective To explore a new surgical management of multiple fingers degloving injury.Methods In 1994 to 1997, 47 cases with multiple fingers degloving injury were sutured by two reverse “s” type skin flaps on abdominal flank.Results The skin flaps in 46 cases survived and the wounds obtained primary heal.Conclusion The application of abdominal flank “s” type skin flap is reliable and convenient in the treatment of multiple fingers degloving injury.

关 键 词：带蒂皮瓣 手部 脱套伤 修复 

分 类 号：R658.2[医药卫生—外科学] R622.1[医药卫生—临床医学]