CAJ | 학술논문

目的探讨改良掌背动脉逆行超大皮瓣治疗手指末节脱套伤的临床效果.方法自2004年1月至2008年8月,对24例24指末节脱套伤患者应用改良掌背动脉逆行超大皮瓣修复,其中示指6指、中指11指、环指5指、小指2指,缺损平面均在远侧指间关节以远,脱套末节长度0.8～3.1 cm.急诊手术22指,末节皮肤坏死Ⅱ期手术2指.结果 24例24指皮瓣全部成活,21例21指经6～28个月随访,外形、感觉和功能恢复满意,皮瓣的两点辨别觉达6～9 mm,平均7.6 mm.结论改良掌背动脉逆行超大皮瓣治疗手指末节脱套伤具有手术简便、安全,疗程短等优点,是一种较为理想的方法.
목적 탐토개량장배동맥역행초대피판치료수지말절탈투상적림상효과.방법 자2004년1월지2008년8월,대24례24지말절탈투상환자응용개량장배동맥역행초대피판수복,기중시지6지、중지11지、배지5지、소지2지,결손평면균재원측지간관절이원,탈투말절장도0.8～3.1 cm.급진수술22지,말절피부배사Ⅱ기수술2지.결과 24례24지피판전부성활,21례21지경6～28개월수방,외형、감각화공능회복만의,피판적량점변별각체6～9 mm,평균7.6 mm.결론 개량장배동맥역행초대피판치료수지말절탈투상구유수술간편、안전,료정단등우점,시일충교위이상적방법.
Objective To discuss the clinical outcome of the modified super large dorsal metacarpal artery flap in reconstruction of circumferential fingertip avulsion. Methods Twenty-four patients with circumferential fingertip avulsion were treated by the modified super large dorsal metacarpal artery flap from January 2004 to August 2008. There were six index fingers, 11 middle fingers, five ring fingers and two little fingers with surface defects beyond the distal interphalangeal joint and the distal degloving length ranged from 0.8 cm to 3.1 cm. Emergency operation was performed on 22 fingers and stage Ⅱ surgery was done for distal skin necrosis of two fingers. Results Twenty-one patients with 21 fingers were followed up for 6-28 months, which showed that all flaps survived, with satisfactory appearance and function, and that the point discrimination of flap was for 6-9 mm ( average 7.6 mm). Conclusion Modified super large dorsal metacarpal artery flap is an ideal method for reconstruction of the circumferential fingertip avulsion with advantages of easiness, convenience and short treatment period.