中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
4期
43-44,47
,共3页
崔红旺%李中锋%王俊波%张全英
崔紅旺%李中鋒%王俊波%張全英
최홍왕%리중봉%왕준파%장전영
拇指缺损%足背皮瓣%拇趾腓侧皮瓣%显微外科手术%第二足趾移植
拇指缺損%足揹皮瓣%拇趾腓側皮瓣%顯微外科手術%第二足趾移植
무지결손%족배피판%무지비측피판%현미외과수술%제이족지이식
Thumb injuries%Dorsalis pedis flap%The great toe fibular flap%Microsurgery%The second toe replantation
目的 观察足背皮瓣联合第二足趾移植修饰性再造拇指的临床效果.方法 对8例拇指Ⅴ、Ⅵ度缺如或伴有大面积皮肤缺损的患者,采用足背皮瓣联合第二足趾移植再造拇指,在切取第二足趾再造拇指时携带拇趾腓侧皮瓣,并将其嵌入第二足趾跖侧,消除第二足趾中段狭细的形态.结果 8例再造的拇指及携带的皮瓣全部成活,术后随访6个月～2年,再造拇指外形非常满意,感觉恢复良好.结论 足背皮瓣联合第二足趾移植是Ⅴ、Ⅵ度拇指缺损再造的良好方法,拇趾腓侧皮瓣嵌入第二足趾,使再造拇指外形更接近正常的拇指.
目的 觀察足揹皮瓣聯閤第二足趾移植脩飾性再造拇指的臨床效果.方法 對8例拇指Ⅴ、Ⅵ度缺如或伴有大麵積皮膚缺損的患者,採用足揹皮瓣聯閤第二足趾移植再造拇指,在切取第二足趾再造拇指時攜帶拇趾腓側皮瓣,併將其嵌入第二足趾蹠側,消除第二足趾中段狹細的形態.結果 8例再造的拇指及攜帶的皮瓣全部成活,術後隨訪6箇月～2年,再造拇指外形非常滿意,感覺恢複良好.結論 足揹皮瓣聯閤第二足趾移植是Ⅴ、Ⅵ度拇指缺損再造的良好方法,拇趾腓側皮瓣嵌入第二足趾,使再造拇指外形更接近正常的拇指.
목적 관찰족배피판연합제이족지이식수식성재조무지적림상효과.방법 대8례무지Ⅴ、Ⅵ도결여혹반유대면적피부결손적환자,채용족배피판연합제이족지이식재조무지,재절취제이족지재조무지시휴대무지비측피판,병장기감입제이족지척측,소제제이족지중단협세적형태.결과 8례재조적무지급휴대적피판전부성활,술후수방6개월～2년,재조무지외형비상만의,감각회복량호.결론 족배피판연합제이족지이식시Ⅴ、Ⅵ도무지결손재조적량호방법,무지비측피판감입제이족지,사재조무지외형경접근정상적무지.
Objective To report the clinical therapeutic efficacy of reconstruction of the thumb by transferring the second toe and dorsalis pedis flap.Methods Twelve patients with Ⅴ°,Ⅵ° thumb defect and large area skin defect were adopted to the second toe combined with dorsalis pedis flap transplant thumb reconstruction.To thicken the narrow of the second toe with great toe fibular skin flap embedded in it. Results All 8 cases of reconstructed thumbs of survived,postop follow-up visit 6 months to 2 years,the shape and sensory function were satisfactory. Conclusions The second toe combined with dorsalis pedis flap transplant repair complex thumb defect had been tested one good method for thumb reconstruction to Ⅴ°,Ⅵ° thumb defect.The great toe fibular flap can wedged into the second toe and make its appearance more comparable to the normal thumb.
