CAJ | 학술논문

目的采用双皮下蒂V-Y推进皮瓣修复指端皮肤缺损并观察其治疗效果.方法双皮下蒂V-Y推进皮瓣修复39例39指指端缺损,指端皮肤缺损面积均小于或等于1.2 cm2.随访检测患指指腹外观、持物和关节活动度以及出汗情况、感觉等指标.结果术后39指指端缺损皮瓣完全存活.术后1年随访,外观、出汗情况、持物稳定性、关节活动范围等令人满意.39指痛觉全部恢复,触觉迟钝者仅有7.7%,46.1%的患者两点分辨觉恢复到正常范围内,实体感觉综合能力恢复达优者占92.3%.结论选择双皮下蒂V-Y推进皮瓣修复末节指端缺损是有效而简单的方法 ,并可获得良好的修复外形及功能.
목적 채용쌍피하체V-Y추진피판수복지단피부결손병관찰기치료효과.방법 쌍피하체V-Y추진피판수복39례39지지단결손,지단피부결손면적균소우혹등우1.2 cm2.수방검측환지지복외관、지물화관절활동도이급출한정황、감각등지표.결과 술후39지지단결손피판완전존활.술후1년수방,외관、출한정황、지물은정성、관절활동범위등령인만의.39지통각전부회복,촉각지둔자부유7.7%,46.1%적환자량점분변각회복도정상범위내,실체감각종합능력회복체우자점92.3%.결론 선택쌍피하체V-Y추진피판수복말절지단결손시유효이간단적방법 ,병가획득량호적수복외형급공능.
Objective To introduce bilaterally pedicled V-Y advancement flap for fingertip reconstruction and evaluate the long-term outcomes. Methods Bilaterally pedicled V-Y advancement flap was performed in 39 patients(39 digits)who had fingertip defects of no more than 1.2 cm2 in size.Postoperatively the appearance of the pulp,gripping,joint movement,sweating and sensation were evaluated.Results All the flaps survived.The finger contour,perspiring,prehension and range of motion,which were evaluated at one year postoperative follow-up,were satisfactory.Pain sensation was recovered in all 39 patients.Impaired touch sensation was noted in 7.7%of the cases,46.1%of the Cases achieyed normal two-point discrimination,and 92.3%achieyed good stcrcognosis. Conclusion The bilaterally pedicled V-Y advancement flap is a simple and practical procedure for fingertip reconstruction,which can achieve good cosmetic and functional results.