CAJ | 학술논문

目的总结第二趾游离移植再造小儿手指的临床效果,评价术后对足部功能及外观的影响.方法 2002年6月至2010年5月采用第二足趾游离移植亚急诊再造小儿手指16例,其中再造拇指2例、示指8例、中指6例.术后经12～24个月随访,分析再造手指的功能情况.结果 16例手术再造手指均获得成活,1例术后发生血管危象,经重新吻合血管后成活.1例供区足部植皮部分坏死,换药后瘢痕愈合.全部再造手指生长发育良好,外形正常,对指、对掌功能良好,两点分辩觉6～ 10mm.再造指抓握力量好.供足步态正常,无疼痛不适,足部功能影响不大.结论用第二足趾游离移植再造修复小儿手指缺损可获得满意的再造效果,对足部外观及功能无明显影响.
목적 총결제이지유리이식재조소인수지적림상효과,평개술후대족부공능급외관적영향.방법 2002년6월지2010년5월채용제이족지유리이식아급진재조소인수지16례,기중재조무지2례、시지8례、중지6례.술후경12～24개월수방,분석재조수지적공능정황.결과 16례수술재조수지균획득성활,1례술후발생혈관위상,경중신문합혈관후성활.1례공구족부식피부분배사,환약후반흔유합.전부재조수지생장발육량호,외형정상,대지、대장공능량호,량점분변각6～ 10mm.재조지조악역량호.공족보태정상,무동통불괄,족부공능영향불대.결론 용제이족지유리이식재조수복소인수지결손가획득만의적재조효과,대족부외관급공능무명현영향.
Objective To investigate the clinical efficacy of finger reconstruction in child with second toe transplantation,and evaluate the postoperative appearance and function regarding the reconstructed donor feet.Methods From June 2002 to May 2011,sixteen cases were reconstructed in sub-emergency with second toe transplantation.Two thumbs,eight index fingers,and 6 middle fingers were reconstructed.All patients were followed-up from 12 to 24 months.The functions of reconstructed fingers were analysed.Results All the reconstructed fingers survived.Vascular crisis occurred in 1 patient,and survived after re-anastomosis.Necrosis of skin grafts at the domon site with exposed tedons was seen in 1 ease,and healed after changing dressings.All the reconstructed fingers showed good in growth and development,and performed good functions as grabbing,grasping and nipping.Two-point discrimination was between 6 mm and 10 mm.The donor site of the foot had normal gait,without obvious influence on walking.Also,no pain was complained.Conclusion The method of transplanting the second toe can reconstruct the appearance and function of the finger defects in child,and has little effect on the appearance and motion of feet.It is an effective treatment method.