邻近指蹼的多手指创面修复  

The repair of wound refers to multiple fngers and fingerweb

作　　者：金乾衡 巨积辉[1] 侯瑞兴[1] 徐磊[1] 刘跃飞[1] 

机构地区：[1]苏州大学附属瑞华医院手外科,江苏省苏州市215104

出　　处：《中华显微外科杂志》2017年第2期130-133,共4页Chinese Journal of Microsurgery

基　　金：江苏省自然科学基金（BK20151203）;江苏省“333高层次人才培养工程”资金资助项目（BRA2014091）

摘　　要：目的探讨邻近指蹼的多个手指创面的修复方法及临床疗效。方法对26例累及指蹼的多个手指创面的患者，采用4类不同皮瓣对其进行修复。应用足背皮瓣修复18例，其中2例为足背远端分叶皮瓣；股前外侧皮瓣修复3例；趾蹼皮瓣修复4例；尺动脉腕上皮支皮瓣修复1例，共累及50个指蹼。结果25例皮瓣全部成活，1例皮瓣远端部分坏死，二期植皮处理。6例足背皮瓣、1例股前外侧皮瓣行分指、指蹼加深术。结论根据患者具体伤情选用合适的皮瓣修复创面，能使患者手外形和功能恢复满意的效果。Objective To discuss the concrete method and clinical effects of the wound refers to multiple fin- gers and fingerweb. Methods Twenty-six patients were used four different flaps to repair the wound refers to multi- ple fingers and fingerweb. Dorsalis pedis flap in 18 cases, 2 cases were distal dorsal foot flap, anterolateral thigh flap, 3 cases, toe web flap, 4 cases, dorsal carpal branch of ulnar artery flap, 1 case in this group. Results All of 25 flaps survived, the distal part of 1 case got necrosis and use skin grafting to treat.6 cases of dorsal foot flap and 1 case of anterolateral thigh flap use the operation of spliting fingers and finger web deepen operation. Conclusion Ac- cording to the specific injury of the patients＂ hands refers fingerweb, using the suitable flap to repair the wound, can make a satisfactory results in the appearance and function of patients＇ hands.

关 键 词：外科皮瓣 移植 指蹼 显微外科技术 

分 类 号：R658.2[医药卫生—外科学]