超薄腹部皮管修复手指不规则皮肤缺损的临床研究  

Clinical study on ultrathin abdominal pipe flap for repairing irregular skin defect of finger

作　　者：金日浩[1] 王夫平[1] 金昱[2] 

机构地区：[1]南方医科大学附属小榄医院手外科,广东中山528415 [2]延边大学医学部人体解剖学教研室,吉林延吉133000

出　　处：《重庆医学》2014年第13期1560-1561,共2页Chongqing medicine

摘　　要：目的探讨应用超薄腹部皮管修复手指不规则皮肤缺损的方法及临床疗效。方法 2007年7月至2012年4月,收治32例手指不规则皮肤缺损的患者。其中,男24例,女8例;年龄16~42岁,平均29岁,均为机器挤压伤,均为急诊入院,急诊手术10例,Ⅱ期手术22例。手术彻底清创后,皮肤软组织缺损范围为2cm×3cm^4cm×6cm;采用大小为3cm×4cm^5cm×7cm的超薄腹部皮管修复,供区直接缝合。结果术后3周断蒂,皮瓣均成活,切口Ⅰ期愈合。30例患者获随访,随访时间6~9个月,平均7个月,皮瓣质地饱满,外观满意;术后皮瓣感觉恢复:S0 12例,S1 8例,S2 10例。结论应用超薄腹部皮管修复手指不规则皮肤缺损是一种理想的选择,手术操作简单,效果好,供区损伤小,具有较好的临床应用价值。Objective To evaluate the treatment on irregular skin defect of finger with ultrathin abdominal pipe flap.Methods From July 2007 to April 2012,32 cases（24 males,8 females;age ranged from 16 to 42 years old,average of 29 years old ）.All were machine crush injury.10 cases of emergency,22 cases of second operation.The soft tissue defect from 2 cm×3 cm to 4 cm×6 cm;The skin defect of finger was repaired ultrathin abdominal flap from 3 cm× 4 cm to 5 cm× 7 cm.Results All the flaps and skin grafting were survived completely after operation and the vascular pedicle was severed after three weeks.30 patients were followed from 6 to 9 months and an average of 7 months,which could obtain function and satisfactory appearance.The average two-point dis-crimination（10 cases of S0,8 cases of S1,10 cases of S2）,finger function was restored.Conclusion The ultrathin abdominal pipe flap,which is achieved simple and had minimal donor site morbidity,is an ideal aoption for irregular skin defect of finger.

关 键 词：超薄 腹部皮管 不规则 手指皮肤缺损 

分 类 号：R658.2[医药卫生—外科学]