人工真皮在复发性指(趾)黏液囊肿手术中的临床应用  

Clinical application of artificial dermis in the surgery of recurrent finger/toe mucocele

作　　者：赵伟超 魏斌[1] 刘晋阳 考树均 倪翠娟 王延杰 邸聪娜 刘欢欢[1] ZHAO Weichao;WEI Bin;LIU Jinyang;KAO Shujun;NI Cuijuan;WANG Yanjie;DI Congna;LIU Huanhuan(Department of Orthopedic Third Ward,The 82nd Group Military Hospital of PLA,Baoding 071000,China)

机构地区：[1]中国人民解放军陆军第82集团军医院骨三科,河北省保定市071000

出　　处：《组织工程与重建外科》2024年第6期682-686,共5页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：河北省保定市科技局卫生行业科研专项(编号:2441ZF142)。

摘　　要：目的探讨皮耐克人工真皮修复复发性指(趾)黏液囊肿切除术后软组织缺损的临床效果。方法回顾性分析2015年5月~2024年1月收治的复发性指(趾)黏液囊肿患者共32例。行囊肿及骨赘切除,皮耐克人工真皮修复。结果术后32例患者均随访3~36个月,平均21个月。术后4周拆除人工皮,术后6~8周完全上皮化,创面愈合良好,无感染发生,无囊肿复发。术后根据中华医学会手外科学会上肢部分功能评定试用标准进行感觉及活动度评分:感觉评分28例S4,4例S3+;活动度评分优30例,良2例。温哥华瘢痕量表(VSS)评分平均1.23。视觉模拟法(VAS)评分0分。结论皮耐克人工真皮覆盖修复指/趾黏液囊肿切除术后软组织缺损创面,修复技术简单,手术时间短,无副损伤,明显减少囊肿复发,临床效果良好。Objective To explore the clinical effect of artificial dermis Pelnac in repairing soft tissue defects after resection of recurrent digital/toe mucocele.Methods A total of 32 patients with recurrent digital/toe mucocele who were admitted from May 2015 to January 2024 were retrospectively analyzed.Cyst and osteophyte excision and the artificial dermis Pelnac repair were performed.Results All 32 patients were followed up for 3 to 36 months(average 21 months).The artificial dermis was removed 4 weeks after surgery,and the wound was completely epithelialized 6 to 8 weeks after surgery.The wound healed well without infection or cyst recurrence.After surgery,the sensation and range of motion were scored according to the trial standard of the upper limb function assessment of the Chinese Medical Association of Hand Surgery.The sensory scores were S4 in 28 cases and S3+in 4 cases.The range of motion score was excellent in 30 cases and good in 2 cases.The average Vancouver scar scale(VSS)score was 1.23.The visual analogue scale(VAS)score was 0.Conclusion The repair of soft tissue defect after finger/toe mucocele resection with artificial dermis Pelnac is simple in repair technique,short in operation time,without collateral damage,significantly reducing cyst recurrence,and has good clinical effect.

关 键 词：黏液囊肿 皮耐克 人工真皮 软组织缺损 

分 类 号：R628[医药卫生—整形外科]