下腹部真皮下血管网皮管修复手指皮肤脱套伤  

Repair of degloving injury of finger with a subdermal vascular network flap of hypogastric region

作　　者：庞施义[1] 赵楷生[1] 戈兵[1] 朱冬承[1] 王培刚[1] 李林东[1] 

机构地区：[1]泗洪县人民医院整形科,江苏泗洪223900

出　　处：《临床骨科杂志》2000年第3期185-186,共2页Journal of Clinical Orthopaedics

摘　　要：目的　探讨下腹部真皮下血管网皮管修复手指皮肤脱套伤。方法　蒂傍于腹壁浅或旋髂浅血管部位。将真皮下血管网皮瓣缝合为皮管 ,套于清创后伤指上 ,皮缘间断缝合 ;供瓣创面直接缝合。若两指同时受伤 ,将皮瓣一分为二 ,缝为皮管修复。修复 17只手 19指 ,皮瓣面积最小 4 5cm× 4 5cm ,最大 8cm× 13cm、蒂宽 8cm。结果　断蒂时间平均 18天 ,皮管全部成活。伤指皮肤 3个月后出现感觉。结论　该皮管修复脱套伤 ,术后伤指外形及皮肤质地好 ,感觉恢复较佳。供瓣面积大 ,瘢痕隐蔽 ,对多指皮肤脱套伤尤为适宜。Objective To study a repair method of degloving injury of finger with a subdermal vascular network flap of hypogastric region. Methods The subdermal vascular network flap was designed and created on the hypogastric region close to superficial epigastric or superficial circumflex iliac vessel. The flap shaped skin tube covered injured finger or it was divided into two for two injured fingers. The wound of donor region was directly closed. 19 degloved fingers in 17 hands were repaired. The smallest size of flaps harvested was 4 5 cm×4 5 cm,while the largest 8 cm×13 cm. The width of flap was 8 cm. Results The mean period of cutting pedicle was 18 days after the flap transfer. All the transplants survived. The skin sensory appeared 3 months postoperatively. Conclusion The flap has good blood supply,suitable thickness, satisfactory appearance and recoverable sense. The size of flap is large enough to cover several injured fingers. The scar of donor region lies in unexposed area, especially suitable for the repair of degloving injury of finger.

关 键 词：指损伤 外科皮瓣 修复 手指皮肤脱套伤 

分 类 号：R658.2[医药卫生—外科学]