中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2010年
2期
92-94,后插三
,共4页
孙乐天%方光荣%侯书健%屈志刚%丁小珩%刘亚平%汤海萍
孫樂天%方光榮%侯書健%屈誌剛%丁小珩%劉亞平%湯海萍
손악천%방광영%후서건%굴지강%정소형%류아평%탕해평
虎口挛缩%皮瓣%鼻烟窝%显微外科手术
虎口攣縮%皮瓣%鼻煙窩%顯微外科手術
호구련축%피판%비연와%현미외과수술
Contracture of the first web space%Flap%Snuff-box%Microsurgical operation
目的 探讨总结采用桡动脉鼻烟窝皮支皮瓣修复虎口挛缩的手术疗效.方法 采用桡动脉鼻烟窝皮支皮瓣修复虎口挛缩18例.本组病例虎口角平均20°,平均宽度19 mm.根据皮肤缺损情况在前臂桡侧设计皮瓣:以鼻烟窝中点为旋转点、前臂中立位时桡骨的走形线为轴线.结果 17例皮瓣全部成活,1例皮瓣部分坏死.全部病例均得以随访,随访时间5～26个月,平均12个月.虎口宽度增加45 mm,虎口角平均增加50°.结论 桡动脉鼻烟窝皮支皮瓣是一种简单、可靠的修复虎口挛缩的方法.
目的 探討總結採用橈動脈鼻煙窩皮支皮瓣脩複虎口攣縮的手術療效.方法 採用橈動脈鼻煙窩皮支皮瓣脩複虎口攣縮18例.本組病例虎口角平均20°,平均寬度19 mm.根據皮膚缺損情況在前臂橈側設計皮瓣:以鼻煙窩中點為鏇轉點、前臂中立位時橈骨的走形線為軸線.結果 17例皮瓣全部成活,1例皮瓣部分壞死.全部病例均得以隨訪,隨訪時間5～26箇月,平均12箇月.虎口寬度增加45 mm,虎口角平均增加50°.結論 橈動脈鼻煙窩皮支皮瓣是一種簡單、可靠的脩複虎口攣縮的方法.
목적 탐토총결채용뇨동맥비연와피지피판수복호구련축적수술료효.방법 채용뇨동맥비연와피지피판수복호구련축18례.본조병례호구각평균20°,평균관도19 mm.근거피부결손정황재전비뇨측설계피판:이비연와중점위선전점、전비중립위시뇨골적주형선위축선.결과 17례피판전부성활,1례피판부분배사.전부병례균득이수방,수방시간5～26개월,평균12개월.호구관도증가45 mm,호구각평균증가50°.결론 뇨동맥비연와피지피판시일충간단、가고적수복호구련축적방법.
Objective To summarize and investigate the therapeutic effects of reconstruction of contracture of the first web space with snuff-box flap. Methods Eighteen patients with contracture of the first web space were treated by snuff-box flap. The width and the angle of the first web space was 19 mm and 20°on average. According to the first web space skin defects, the flap designed to nasopharyngeal fossa centers as rotation point, the radial line when the forearm in the neutral position as the axis. Results The followedup for 5-26 months revealed that 17 flaps had a success, but 1 case was partly necrosis. The width of the first web space was augmented by an aveage of 45 mm, the angle of the first web space was augmented by an average of 50°. Conclusion It is ralatively simple and reliable to repair the contracture of the first web space using the snuff-box flap.
