三块游离组织组合移植I期修复复杂手外伤  

Combined of three free tissues transfer to reconstruction complicated hand injury in one-stage

作　　者：芮永军[1] 寿奎水[1] 张全荣[1] 孙振忠 许亚军[1] 施海峰[1] 吴权[1] 

机构地区：[1]江苏省无锡市手外科医院,214062

出　　处：《中华显微外科杂志》2002年第3期170-172,共3页Chinese Journal of Microsurgery

摘　　要：目的　研究复杂性手外伤的修复方式和游离组织组合移植的方式。　方法　对 3 6例严重手外伤采用三块游离组织组合移植修复。共有 4种组合类型。　结果　 3 6例 10 8块游离组织组合移植 ,全部成活 ,所覆盖的创面全部愈合 ,经过 1年以上随访 ,移植足趾和甲瓣恢复触痛、温度觉 ,两点辨别觉在 6～ 12mm ,所有病例恢复了对掌、对指功能 ,能完成日常生活功能。　结论　用三块游离组织组合移植修复复杂手外伤 ,虽手术时间长、创伤大 ,但可减少手术次数和减轻患者精神和经济负担 ,缩短疗程 ,并能早期进行康复训练 。Objective Research reconstruction methods of complicated hand injury and transfer types of combined free tissues Methods Applying combined three free tissues to reconstruct extent hand injury 36 cases, there were total four types Results Thirty six cases with 108 free tissues were all survival, the wounds were healed After more than 1 year follow up, restoration of the sensation of pain and temperature were recovered in the transplantation toe and wrap around flap, the two point discrimination was 6～12 mm The function of pinch and opposed was restored The patients can comply the day of life Conclusion Utilization the combined three free tissue transfer to reconstruction complicates hand injuries The time of operation is long, more trauma, reasonable arrange of hand surgeons and have a good knowledge of microsurgery, but the times of operations is less, and shorted the therapy procedure and early rehabilitation

关 键 词：显微外科手术 修复方式 手术适应证 MU甲瓣 股前外侧皮瓣 小腿外侧皮瓣 游离组织组合移植 复杂手外伤 

分 类 号：R658.2[医药卫生—外科学]