CAJ | 학술논문

目的评价邻指皮瓣与同指背逆行岛状皮瓣修复指端缺损的功能恢复情况,探讨治疗指端缺损的最佳手术方案.方法 2009年1月至2011年6月,应用皮瓣修复指端缺损80例88指.急诊手术72例78指,择期手术8例10指.皮瓣切取面积为1.5 cm×1.5 cm～ 2.5 cm×2.0 cm.按手术方式分为邻指皮瓣组(A组)38例42指,同指背逆行岛状皮瓣组(B组)42例46指.术后3个月随访比较两组手功能恢复情况.结果两组皮瓣全部存活.按手功能综合评定标准评定:A组优10指,良24指,可8指,优良率为81.0％；B组优25指,良19指,可2指,优良率为95.7％.两组比较差异有统计学意义(P＜0.05).结论同指背逆行岛状皮瓣是一种治疗指端缺损的有效术式,方法科学、疗效确切,具有较高的临床应用价值.
목적 평개린지피판여동지배역행도상피판수복지단결손적공능회복정황,탐토치료지단결손적최가수술방안.방법 2009년1월지2011년6월,응용피판수복지단결손80례88지.급진수술72례78지,택기수술8례10지.피판절취면적위1.5 cm×1.5 cm～ 2.5 cm×2.0 cm.안수술방식분위린지피판조(A조)38례42지,동지배역행도상피판조(B조)42례46지.술후3개월수방비교량조수공능회복정황.결과 량조피판전부존활.안수공능종합평정표준평정:A조우10지,량24지,가8지,우량솔위81.0％；B조우25지,량19지,가2지,우량솔위95.7％.량조비교차이유통계학의의(P＜0.05).결론 동지배역행도상피판시일충치료지단결손적유효술식,방법과학、료효학절,구유교고적림상응용개치.
Objective To investigate the best operative method for repairing of fingertip defect,we evaluated the functional recovery of fingertip defect which was repaired by cross finger flap or by reverse dorsal digital island fascial flap.Methods Form January 2009 to June 2011,80 cases (88 digits) of fingertip defects were treated with surgical flaps.Emergency operations were performed in 72 cases of 78 fingertip defects.Selective operations were performed in 8 cases of 10 fingertip defects.The flaps measured 1.5 cm × 1.5 cm to 2.5 cm×2.0 cm.The cross finger flap group (group A) contained 38 cases of 42 fingers.The reverse dorsal digital island fascial flap group (group B) contained 42 cases of 46 fingers.Three months later,the functional recovery of the injured fingers was compared between the two groups.Results All flaps survived completely.According to the hand functional evaluation criteria,the results of group were graded as excellent in 10 digits,good in 24 and fair in 8,with 81.0％ overall excellent and good rate.The results of group B were rated as excellent in 25 digits,good in 19 and fair in 2,with 95.7％ overall excellent and good rate.The hand functional evaluation was significantly different between the two groups (P ＜0.05).Conclusion Reverse dorsal digital island fascial flap is an effective,scientific and reliable method to repair fingertip defects.