趾甲皮瓣切取方法的改良及疗效观察  

Modify operation of great toe wrap-around flap and its effect observation

作　　者：胡长青[1] 闫厚军[1] 冯亚高[1] 付贯忠[1] 王磊[1] 考树均[1] 张吉庆[1] 

机构地区：[1]中国人民解放军第252医院手足外二科,河北保定071000

出　　处：《实用手外科杂志》2012年第2期106-108,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨坶趾甲皮瓣新的切取方法及临床效果。方法2005年12月-2010年3月，采用切除部分坶趾甲下趾骨并保留足底负重区的方法，对17例拇指缺损患者实施坶甲瓣移植手术。并对移植甲体营养状况、供足功能情况进行随访。结果所有手术均顺利完成，皮瓣成活良好，随访6-24个月，平均10个月，拇指外观及功能良好，移植甲体无畸形，甲床无坏死，患者无步态改变、步速下降及足距缩短等情况，供区坶趾无残端痛及溃疡发生。结论采用改良术式行坶甲瓣切取安全可行，移植甲体营养良好．可显著减少供足并发症。Objective To investigate a new method of amputating great toe wrap-around flap and its clinical outcome. Methods From December 2005 to March 2010, 17 cases of thumb defect were treated with modified wrap-around flap to reconstruct the thumb. The new method was similar to that of the traditional procedure, different in amputating part phalanx under the first toe and reserving the loading area of antar. All the patients were gave a postoperative following-up for nutrition of nail and function of donor foot. Results All flaps survived, and were followed up for 6-24 months with average 10 months, most patients gained good function and ideal appearance, nails without catface, nails bed without necrosis, patients hadn＇t conspicuous variety at gait, walking pace, and stride length, donor sites without stump pain and ulceration. Conclusion It is safe and efficacious of using modified wrap-around flap for thumb reconstruction, transplanted nails had well nutrition, donor sites had hardly any syndrome.

关 键 词：蹲趾甲皮瓣 供区 组织移植 

分 类 号：R622.9[医药卫生—整形外科]