拇指桡侧逆行筋膜皮瓣修复示指指端缺损40例临床观察  

Clinical Observation on 40 Cases of Thumb Radial Retrograde Fascia Flap Repairing the Defect of Finger Tip

作　　者：晏飞[1] 刘士波[1] 范海静 王培[1] 刘飞 李哲[1] 付世杰[1] YAN Fei;LIU Shi bo(Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China)

机构地区：[1]承德医学院附属医院,河北承德067000 [2]北京同仁堂承德中医医院,河北承德067000

出　　处：《河北医学》2020年第3期515-518,共4页Hebei Medicine

基　　金：2019年度河北省医学科学研究课题计划，(编号:20190860)

摘　　要：目的:探讨拇指桡侧逆行筋膜皮瓣修复示指指端缺损的手术方法和临床疗效。方法:自2014年8月至2018年5月,对我院收治的40例示指指端缺损患者,采用拇指桡侧逆行筋膜皮瓣进行修复。结果:本组40例示指皮瓣全部成活。术后随访12~24个月,平均18.8个月,示指指腹外观饱满,颜色正常,质地良好,皮瓣两点分辨觉为3.0~5.0mm。按中华医学会手外科分会上肢部分功能评定试用标准评定:优31例,良9例,优良率100%。结论:应用拇指桡侧逆行筋膜皮瓣修复示指指端缺损,手术方法简便,并能获得良好的功能与外形,是一种可供选择的手术方式,值得推广应用。Objective:To explore the surgical method and clinical effect of retrograde fascia flap of thumb radial side in repairing the defect of finger tip.Methods:From August 2014 to may 2018,40 cases of finger tip defect in our hospital were repaired with reverse thumb radial fasciocutaneous flap.Results:All the 40 finger flaps survived in 40 cases.Postoperative follow-up was 12 to 24 months,with an average of 18.8 months,the index finger abdomen is full and the skin flap is of good color and texture.The two-point resolution of the flap was 3.0-5.0mm.According to the trial standard of upper limb function evaluation of hand surgery branch of Chinese medical association,31 cases were excellent and 9 cases were good,the excellent and good rate were 100%.Conclusion:It is a simple method to repair the defect of the index finger with the reverse fasciocutaneous flap of the radial side of the thumb,which can obtain good function and shape.It is an alternative operation method and is worth popularizing.

关 键 词：指端缺损 筋膜皮瓣 修复 

分 类 号：R658.2[医药卫生—外科学]