中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2010年
6期
444-446,后插3
,共4页
龚志鑫%邵新中%张桂生%田德虎%于亚东%高彦华
龔誌鑫%邵新中%張桂生%田德虎%于亞東%高彥華
공지흠%소신중%장계생%전덕호%우아동%고언화
踝前皮瓣%足背皮瓣%移植%手掌部贯通伤%显微外科手术
踝前皮瓣%足揹皮瓣%移植%手掌部貫通傷%顯微外科手術
과전피판%족배피판%이식%수장부관통상%현미외과수술
Anterior malleolus flap%Dorsalis pedis flap%Transplantation%Penetrating wound of palm%Microsurgical operation
目的 探讨应用踝前与足背联合皮瓣游离移植修复手掌部贯通伤皮肤缺损的临床效果.方法 从2004年5月至2009年7月,应用踝前与足背联合皮瓣游离移植修复手掌部贯通伤皮肤缺损16例,两皮瓣由足背动、静脉相连,踝前皮瓣切取范围:3.5 cm×2.0 cm～7.0 cm×5.5 cm;足背皮瓣切取范围:5.0 cm×3.5 cm～8.5 cm×6.0 cm.结果 16例32块皮瓣全部成活,术后随访6个月～2年,根据2000年中华医学会手外科分会手功能评定试用标准综合评价:优8例,良5例,可2例,差1例,优良率为81.25%.结论 踝前与足背皮瓣血管解剖恒定,手术切取比较简便,一次手术可以完成手掌和手背两侧皮肤缺损的修复,应用踝前与足背联合皮瓣游离移植修复手部贯通伤可以获得较好的临床效果.
目的 探討應用踝前與足揹聯閤皮瓣遊離移植脩複手掌部貫通傷皮膚缺損的臨床效果.方法 從2004年5月至2009年7月,應用踝前與足揹聯閤皮瓣遊離移植脩複手掌部貫通傷皮膚缺損16例,兩皮瓣由足揹動、靜脈相連,踝前皮瓣切取範圍:3.5 cm×2.0 cm～7.0 cm×5.5 cm;足揹皮瓣切取範圍:5.0 cm×3.5 cm～8.5 cm×6.0 cm.結果 16例32塊皮瓣全部成活,術後隨訪6箇月～2年,根據2000年中華醫學會手外科分會手功能評定試用標準綜閤評價:優8例,良5例,可2例,差1例,優良率為81.25%.結論 踝前與足揹皮瓣血管解剖恆定,手術切取比較簡便,一次手術可以完成手掌和手揹兩側皮膚缺損的脩複,應用踝前與足揹聯閤皮瓣遊離移植脩複手部貫通傷可以穫得較好的臨床效果.
목적 탐토응용과전여족배연합피판유리이식수복수장부관통상피부결손적림상효과.방법 종2004년5월지2009년7월,응용과전여족배연합피판유리이식수복수장부관통상피부결손16례,량피판유족배동、정맥상련,과전피판절취범위:3.5 cm×2.0 cm～7.0 cm×5.5 cm;족배피판절취범위:5.0 cm×3.5 cm～8.5 cm×6.0 cm.결과 16례32괴피판전부성활,술후수방6개월～2년,근거2000년중화의학회수외과분회수공능평정시용표준종합평개:우8례,량5례,가2례,차1례,우량솔위81.25%.결론 과전여족배피판혈관해부항정,수술절취비교간편,일차수술가이완성수장화수배량측피부결손적수복,응용과전여족배연합피판유리이식수복수부관통상가이획득교호적림상효과.
Objective To investigate the clinical outcome of the feasible method of the free string type dorsalis pedis flap and anterior malleolus flap in the repairement of skin defects caused by penetrating wound of palm. Methods From May 2004 to July 2009, the free string-type dorsalis pedis flap and anterior malleolus flap were used to repair skin defects of 16 cases who sutained penetrating wounds of palm.Results All 32 flaps in the 16 cases were all survived. Follow-ups were done from 6 months to 2 years after operation. Both the appearances of the repaired palms and the functional recovery were satisfactory. The function assessment of the hand was excellent in 8 cases, good in 5 cases, fine in 2 cases and poor in 1 case.The eligible rate was 81.25%. Conclusion The anatomy of the dorsalis pedis flap and anterior malleolus flap is rare variant, which facilitate the dissection of the flaps during operation. The repairement of skin defects at two sides, both the palm and the back of hand, can be achieved via one operation. Therefore, the free string type dorsalis pedis flap and anterior malleolus flaps offer an ideal procedure to repair skin defects secondary to penetrating wound of palm.
