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作 者:刘小智 张晓童 宋坤修[1] 马丙栋[1] 赵多伟 张月恒 徐倩[1] LIU Xiaozhi;ZHANG Xiaotong;SONG Kunxiu(Department of Hand and Microsurgery,Affiliated Hospital to Binzhou Medical College,Binzhou,Shandong,256603,China)
机构地区:[1]滨州医学院附属医院手(显微)外科,山东滨州256603 [2]滨州医学院附属医院妇产科,山东滨州256603
出 处:《实用手外科杂志》2023年第1期41-43,共3页Journal of Practical Hand Surgery
摘 要:目的 探讨游离■甲瓣技术在拇、示指指端再造中的临床疗效及意义。方法 2018年8月-2020年9月,对10例10指(6例拇指、4例示指)末节软组织伴甲床缺损的患者采用游离■甲瓣进行移植修复。供区直接拉拢缝合或全厚皮取皮植皮覆盖创面。术后对所有患者定期随访。结果 所有■甲瓣均成活,伤口愈合良好。其中2例术中出现动脉危象,通过提高室温、局部给予罂粟碱及利多卡因注射液后症状改善。随访时间为5~15个月,患者对再造手指的质地和外观满意。结论 对于拇指及示指的指端再造,■甲瓣的移植修复可以最大程度地恢复手指功能,并且在外形、耐磨性上满足患者需求,是目前最佳的修复方式。Objective To investigate the surgical technique,clinical effect and significance of hallux nail flap technique in thumb and index finger reconstruction.Methods From August 2018 to September 2020,the wrap-around flap was used to repair 10 fingers(6 thumbs and 4 index fingers)in 10 patients with nail bed and soft tissue defects in our department.The donor area was directly sutured or be covered by the full-thickness skin graft.All patients were followed up regularly after surgery.Results All the wrap-around flap survived and the donor wound healed well.Arterial crisis occurred in 2 cases,and symptoms were improved by raising room temperature,local administration of papaverine and lidocaine injection.Follow-up ranged from 5 to 15 months,and the patients were satisfied with the texture and appearance of the reconstructed finger.Conclusion For the finger tip reconstruction and repair of thumb and index finger,the transplantation of wrap-around flap can restore the finger function to the greatest extent,and can meet the needs of patients in terms of appearance and wear resistance,so it is the best repair method at present.
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