中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2011年
2期
101-102,后插2
,共3页
趾甲瓣%外科皮瓣%移植%显微外科手术
趾甲瓣%外科皮瓣%移植%顯微外科手術
지갑판%외과피판%이식%현미외과수술
Toe nail flap%Surgical flap%Transplantation%Microsurgical operation
目的 探讨半趾甲瓣移植术的供区创面修复方法.方法 自2004年2月至2010年9月,采用带蒂或游离皮瓣修复趾甲瓣足趾供区创面36例40指.趾供区面积较小者13趾采用第一跖背皮瓣、7趾用第二趾动脉皮瓣修复;面积大者采用游离皮瓣修复,其中足底内侧皮瓣3趾,腓动脉穿支皮瓣5趾,跗外侧动脉皮瓣2趾,腓肠动脉内侧支皮瓣3趾.第二趾半趾甲瓣再造手指7趾,其创面均采用(母)趾腓侧岛状皮瓣覆盖.结果 20例术后获得6个月至5年随访,其中2例甲缘外露在皮瓣外,18例(母)趾、第二足趾外观近似正常,皮瓣平整无破溃,皮瓣颜色质地好;游离皮瓣中有7例恢复保护性感觉;修复足趾屈伸活动正常,行走无不适感.结论 用皮瓣移植覆盖(母)趾及第二趾半趾甲瓣创面是理想修复方法,游离皮瓣移植好于带蒂移植.
目的 探討半趾甲瓣移植術的供區創麵脩複方法.方法 自2004年2月至2010年9月,採用帶蒂或遊離皮瓣脩複趾甲瓣足趾供區創麵36例40指.趾供區麵積較小者13趾採用第一蹠揹皮瓣、7趾用第二趾動脈皮瓣脩複;麵積大者採用遊離皮瓣脩複,其中足底內側皮瓣3趾,腓動脈穿支皮瓣5趾,跗外側動脈皮瓣2趾,腓腸動脈內側支皮瓣3趾.第二趾半趾甲瓣再造手指7趾,其創麵均採用(母)趾腓側島狀皮瓣覆蓋.結果 20例術後穫得6箇月至5年隨訪,其中2例甲緣外露在皮瓣外,18例(母)趾、第二足趾外觀近似正常,皮瓣平整無破潰,皮瓣顏色質地好;遊離皮瓣中有7例恢複保護性感覺;脩複足趾屈伸活動正常,行走無不適感.結論 用皮瓣移植覆蓋(母)趾及第二趾半趾甲瓣創麵是理想脩複方法,遊離皮瓣移植好于帶蒂移植.
목적 탐토반지갑판이식술적공구창면수복방법.방법 자2004년2월지2010년9월,채용대체혹유리피판수복지갑판족지공구창면36례40지.지공구면적교소자13지채용제일척배피판、7지용제이지동맥피판수복;면적대자채용유리피판수복,기중족저내측피판3지,비동맥천지피판5지,부외측동맥피판2지,비장동맥내측지피판3지.제이지반지갑판재조수지7지,기창면균채용(모)지비측도상피판복개.결과 20례술후획득6개월지5년수방,기중2례갑연외로재피판외,18례(모)지、제이족지외관근사정상,피판평정무파궤,피판안색질지호;유리피판중유7례회복보호성감각;수복족지굴신활동정상,행주무불괄감.결론 용피판이식복개(모)지급제이지반지갑판창면시이상수복방법,유리피판이식호우대체이식.
Objective To explore the wound healing of semi-toe nail flap donor site after transplantation. Methods To repair small wounds,on 13 toes the first metatarsal dorsal flaps were applied,and on 7 toes the second toe digital flaps were applied.While,to repair large wounds,free flaps were applied,including foot inside flaps on 3 toes,peroneal artery perforator flaps on 5 toes,tarsal lateral artery flaps on 2 toes,and phil bowel artery inside branch flaps on 3 toes.Wounds remaining on semi-toe nail flaps of 7 toes were all covered with fibular island flaps of the first toes. Results Twenty cases were followed up,and the rang between 6 months to 5 years.The nail margin was exposed out of the lateral flaps in 2 cases.The first toes and the second toes appeared nearly normal in the other 18 cases.The flaps appeared smooth,flexible appearance with nice color and no ulceration.Seven cases applied with free flaps recovered protective sensibility with no complaint. Conclusion To cover wounds on semi-toe nail flaps of the first toes and the second toes with flaps is an ideal treatment method.The method of free flap transplantation is superior to vascular pedicle flap graft.
