改良邻指双叶皮瓣治疗指掌侧高压油漆注射伤  

Modified bilobular cross finger flap for treatment of high-pressure paint injection injuries on the volar aspect of the fingers

作　　者：张净宇[1] 马铁鹏[1] 高顺红[1] 于志亮[1] 周彤[1] 张文龙[1] 倪玉龙[1] 

机构地区：[1]唐山市第二医院手外科,河北063000

出　　处：《中华手外科杂志》2015年第4期295-297,共3页Chinese Journal of Hand Surgery

摘　　要：目的 探讨采用改良邻指双叶皮瓣治疗指掌侧高压油漆注射伤的疗效.方法 自2005年12月至2013年2月收治手指掌侧高压油漆注射伤患者11例,经清创手术后,掌侧创面采用改良邻指双叶皮瓣修复,术后15 ～ 21 d行断蒂术,术后3～7d行功能康复.结果 术后11例均获得随访,时间8～28个月,平均22.3个月,均未出现手指坏死,指掌侧皮瓣均存活,手指功能好,根据手指关节总活动度（TAM）系统评定方法：优7例,良3例,可1例.分叶皮瓣远侧叶两点分辨觉为10～13 mm,平均11.3 mm.结论 改良邻指双叶皮瓣治疗指掌侧高压油漆注射伤,操作简单,易于推广,效果满意.Objective To investigate the clinical results of applying modified bilobular cross-finger flap in treating high-pressure paint injection injuries on the volar aspect of the fingers.Methods From December 2005 to February 2013,11 patients with high-pressure paint injection injuries to the volar aspect of the fingers were treated.After debridement,the modified bilobular cross-finger flap was transferred to cover the tissue defect on the volar aspect of the finger.Flap pedicle was divided between 15 and 21 postoperative days.Functional rehabilitation started 3 to 7 days after the pedicle severance surgery.Results All patients were follow-up for an average of 22.3 months （range,8 to 28 months）.There was no finger necrosis.All the flaps survived.Finger function was normal.Based on total active motion （TAM） evaluation,finger function was excellent in 7 cases,good in 3 cases and fair in 1 case.Two point discrimination at the distal portion of the bilobular flap was 11.3 mm （range,10 to 13 mm）.Conclusion Modified bilobular cross finger flap transfer can lead to satisfactory results in treating high-pressure paint injection injury to the volar aspect of the fingers.It is an easy operation hence suitable for wide clinical use.

关 键 词：指损伤 外科皮瓣 皮肤缺损 创面修复 

分 类 号：R619.6[医药卫生—外科学]