毛细血管网皮片在伴小面积皮肤缺损型断指再植中的应用  

The application of subdermal vascular network skin graft in severed finger reunion with small area skin defects

作　　者：宗传冲 王玉发[1] 田恒[1] 贾国梁[1] 刘宇轩[1] 

机构地区：[1]吉林大学第二医院手足及修复重建外科,长春130000

出　　处：《中国医师进修杂志》2017年第4期357-359,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨毛细血管网皮片游离移植在伴有小面积皮肤缺损的离断指体再植术中的适用性.方法 应用改良的周边薄、中间厚的倒置“帽状”毛细血管网皮片、直接与创面边缘缝合、不用纱布加压包扎固定的方法,一期修复伴有皮肤缺损、非血管外露的离断指体再植术中创面10例14指,包括背侧7例10指（其中伸肌腱外露5指）、掌侧3例4指（其中屈肌腱外露2处）,皮肤缺损范围：1.0 cm×0.8 cm ～ 3.0 cm×1.5 cm.结果 6处面积稍大皮片术后早期出现周边青紫、中央小水泡形成,其余8处皮片颜色渐由苍白转红润,所有皮片、再植指体最终均成活,创口一期愈合,皮片质地、外观佳.结论 改进的帽状毛细血管网皮片游离移植是解决伴有小面积皮肤缺损的离断指体再植术中创面覆盖的简单、安全、有效的方法.Objective To explore the application of subdermal vascular network skin graft in severed finger reunion with small area skin defects.Methods Modified subdermal vascular network,which was inversion thin and middle thick,was used to repair defect of severed finger reunion without exposure of blood vessel.There were 10 patients and 14 fingers,including 7 patients and 10 fingers injured in the dorsal sid with 5 fingers＇ extensor tendon exposed,and 3 patients and 4 fingers injured in the palmar side with 2 patients＇ flexor tendon exposed.The defect area was ranged from 1.0 cm × 0.8 cm to 3.0 cm × 1.5 cm.Results In 6 larger subdermal vascular network,skin＇s edge became blue and blister appeared in the middle.The others was good with skin texture and aspect.Conclusions Modified subdermal vascular network skin graft is safe and effective choose to solve severed finger reunion with smnall area skin defects.

关 键 词：再植术 皮肤移植 毛细血管网皮片 治疗结果 

分 类 号：R658.1[医药卫生—外科学]