游离腕横纹穿支复合组织瓣修复手指复合软组织缺损  

Repair of digital composite soft tissue defect by free composite flap of transverse carpal crease perfprating branch

作　　者：巫文强 郭俊光 刘世豪 王旭东 王文刚 WU Wenqiang;GUO Junguang;LIU Shihao(Department of Microsurgery,Tangxia Hospital of Dongguan City,Dongguan,Guangdong,523721,China)

机构地区：[1]广东东莞塘厦医院显微外科,广东东莞523721

出　　处：《实用手外科杂志》2020年第1期20-22,共3页Journal of Practical Hand Surgery

基　　金：广东省东莞市社会科技发展一般项目(项目编号:2018507150321429)。

摘　　要：目的探讨利用腕横纹复合组织游离皮瓣修复手指复合软组织缺损的临床应用效果与技术要点。方法2018年4月-2019年6月,采用同侧游离腕横纹穿支复合组织瓣修复手指皮肤软组织复合缺损10例,术后定期随访,观察皮瓣成活及手部功能恢复情况。结果10例皮瓣均成活,其中1例出现血管危象,行血管探查术后缓解成活;1例皮瓣局部坏死,经换药治疗后愈合。出院随访6~12个月,移植复合瓣色泽好、质软、无臃肿,瘢痕不明显,手指外形满意,移植复合瓣两点辨别觉为6~10 mm。按照功能评定标准评定:优7例,良2例,可1例。结论游离腕横纹穿支复合组织瓣在手指复合软组织缺损的修复中具有良好的特性,值得临床推广应用。Objective To explore the application and key points of free flap of wrist transverse stripes in the treatment of acute composite soft tissue defect of finger.Methods From April 2018 to June 2019,10 patients with composite finger skin and soft tissue defects treated with ipsi free transverse wrist perforation complex tissue flap were reviewed.Results All the flaps survived in 10 cases,among which 1 patient had vascular crisis,which was relieved after vessel exploration,and 1 patient had local necrosis of the flap,which healed after dressing change.After 6-12 months of follow-up after discharge,the color,soft quality,no swelling,no obvious scar,and satisfactory appearance of the finger showed that the two-point discrimination of the transplanted composite flap was 6-10 mm.According to the functional evaluation standard,7 cases were excellent,2 cases were good,and 1 case was fair.Conclusion the free wrist transposition flap has good characteristics in the repair of finger composite defect.

关 键 词：手指 复合组织缺损 修复 

分 类 号：R658.2[医药卫生—外科学]