改良掌侧旋转皮瓣修复指端软组织皮肤缺损疗效  

The clinical curative effect of modified volar rotation flap for repairing soft tissue skin defect of fingertips

作　　者：王强[1] 谢飞[1] 成德亮 张丽君 李刚[1] 吕敏[1] 魏登科 Wang Qiang;Xie Fei;Cheng Deliang(The Center of Hand Surgery,the Affiliated Honghui Hospital of Xi'an Jiaotong University,Xi'an 710054,China)

机构地区：[1]西安交通大学附属红会医院手外中心一病区,710054

出　　处：《美中国际创伤杂志》2018年第4期12-13,19,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的:探讨改良掌侧旋转皮瓣修复指端软组织皮肤缺损疗效分析。方法:2015年8月至2018年9月, 有选择性的针对54例(62指)手指指端软组织缺损患者,应用掌侧旋转皮瓣修复指端软组织皮肤缺损,皮瓣 切取面积为2.0cm×3.0cm。结果:术后54例(62指)经过应用掌侧旋转皮瓣修复全部成活,随访时间3~12个月。皮瓣质地良好,感觉恢复良好,供区植皮愈合良好,耐磨性较好。结论:修复指端软组织皮肤缺损方法较 多,且因皮肤缺损较多不能应用简单V-Y推移皮瓣时,如何能设计及选择一个更好的手术方案来修复,经过 多种手术方案治疗效果对比,应用掌侧旋转皮瓣修复指端软组织皮肤缺损的治疗是最佳的手术方案。掌侧旋 转皮瓣,血供可靠,切取简单方便,成活率较高,完整保留皮瓣的感觉及皮纹的完整性,皮瓣质地、色泽、外观、 耐磨度与指体相符,术后外形美观,皮肤感觉良好。是首选显微修复方法之一。Objective: To investigate the effect of modified volar rotation flap in the repair of soft tissue skin defect of the fingertips. Methods: From August 2015 to September 2018, there were 54 patients (62 fingers) with soft tissue defect on the fingertips, and treated by using the volar rotation flap repair. The area of the flap was 2.0cmx3.0cm. Results: 54 cases (62 fingers) were followed—up for 3~12 months. The flap survived in all cases. The texture of the flap is good, feeling is well, skin graft of the donor site is well healed and good abradability was obtained. Conclusion: Modified volar rotation flap for repairing soft tissue skin defect of the fingertips is an optimal way. Volar rotation flap has a reliable blood supply, simple and easy to cut, with a high survival rate. Feeling of the flap and integrality of the dermatoglyph were completely retained. The texture, color, appearance and abradability of the flap are match with the skin, can obtain a beautiful appearance and good skin feeling.

关 键 词：掌侧旋转皮瓣 指端软组织皮肤缺损 显微修复 

分 类 号：R658.2[医药卫生—外科学]