游离改良第一趾蹼皮瓣修复手部指蹼缺损  

Application of free modified first toe web skin flap for repair of finger web defect

作　　者：唐林峰[1] 巨积辉[1] 金光哲[1] 张广亮[1] 胡蕴楠 侯瑞兴[1] Tang Linfeng;Ju Jihui;Jin Guangzhe;Zhang Guangliang;Hu Yunnan;Hou Ruixing(Department of Hand surgery,Ruihua Hospital Affiliated to Suzhou University,Suzhou 215104,China)

机构地区：[1]苏州大学附属瑞华医院手外科,苏州215104

出　　处：《中华手外科杂志》2019年第6期445-447,共3页Chinese Journal of Hand Surgery

基　　金：江苏省青年医学重点人才项目(QNRC2016221)。

摘　　要：目的探讨手部指蹼缺损的修复方法及临床疗效。方法自2014年1月至2017年12月,我们设计应用足部第一趾蹼皮瓣修复手部指蹼缺损患者7例。皮瓣供区均采用腹部全厚皮片植皮。结果本组7例皮瓣全部存活,供区植皮愈合良好,术后随访6-12个月,平均8个月,术后游离趾蹼皮瓣外形及感觉恢复良好,重建指蹼无明显挛缩,外展角度接近正常手指指蹼,供区植皮无明显瘢痕增生,足部行走功能良好。结论应用游离足部第一趾蹼皮瓣修复手部指蹼缺损,患手的外形及功能恢复满意,是一种修复指蹼缺损的较好术式。Objective To explore the repair method and clinical efficacy of finger web defect of hand.Methods From January 2014 to December 2017,7 cases with finger web defects were repaired by the first toe web flaps.Full-thickness abdominal skin grafts were used in all donor sites.Results All the 7 flaps survived and the donor site healed well.The follow-up period ranged from 6 to 12 months with an average of 8 months.The appearance and sensation of the free first toe web flaps recovered well after the operation.There was no obvious contracture in the reconstructed finger webs.The abduction angle was close to the normal finger web.There was no obvious scar hyperplasia in the donor site,and the walking function of the foot was good.Conclusion It is a better method to repair finger web defect with the first toe web skin flap,which can achieve satisfactory appearance and function of the hand.

关 键 词：外科皮瓣 移植 指蹼 显微外科手术 

分 类 号：R65[医药卫生—外科学]