中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2010年
4期
193-194
,共2页
高伟阳%王安远%蒋良福%闫合德%杨景全%周飞亚%宋永焕%丁健%虞庆%褚庭纲%张国佑
高偉暘%王安遠%蔣良福%閆閤德%楊景全%週飛亞%宋永煥%丁健%虞慶%褚庭綱%張國祐
고위양%왕안원%장량복%염합덕%양경전%주비아%송영환%정건%우경%저정강%장국우
外科皮瓣%手畸形,先天性%并指%重建
外科皮瓣%手畸形,先天性%併指%重建
외과피판%수기형,선천성%병지%중건
Surgical flaps%Hand deformities,congenital%Syndactyly%Reconstruction
目的 介绍一种并指分指后不需植皮指蹼一期重建的方法.方法 10例先天性并指患儿,在相邻两个并指的近节指背侧设计五边形皮瓣,皮瓣顶角在两指间正常指蹼掌侧缘平面,两个侧角在两指侧背缘正常指蹼背侧缘平面,两个底角在掌指关节背侧中心.并指分指后,用形成的五边形皮瓣一期重建指蹼,共重建17个指蹼.结果 所有指蹼一期获得重建,指蹼区不需植皮,指背创面直接缝合.术后所有皮瓣均存活.随访4～25个月,平均15个月,指蹼外观和功能良好.结论 采用指背五边形皮瓣能够达到一期重建指蹼不需植皮的目的 ,且损伤小,手术简单.对于多指并指患者,可同时重建两个指蹼.
目的 介紹一種併指分指後不需植皮指蹼一期重建的方法.方法 10例先天性併指患兒,在相鄰兩箇併指的近節指揹側設計五邊形皮瓣,皮瓣頂角在兩指間正常指蹼掌側緣平麵,兩箇側角在兩指側揹緣正常指蹼揹側緣平麵,兩箇底角在掌指關節揹側中心.併指分指後,用形成的五邊形皮瓣一期重建指蹼,共重建17箇指蹼.結果 所有指蹼一期穫得重建,指蹼區不需植皮,指揹創麵直接縫閤.術後所有皮瓣均存活.隨訪4～25箇月,平均15箇月,指蹼外觀和功能良好.結論 採用指揹五邊形皮瓣能夠達到一期重建指蹼不需植皮的目的 ,且損傷小,手術簡單.對于多指併指患者,可同時重建兩箇指蹼.
목적 개소일충병지분지후불수식피지복일기중건적방법.방법 10례선천성병지환인,재상린량개병지적근절지배측설계오변형피판,피판정각재량지간정상지복장측연평면,량개측각재량지측배연정상지복배측연평면,량개저각재장지관절배측중심.병지분지후,용형성적오변형피판일기중건지복,공중건17개지복.결과 소유지복일기획득중건,지복구불수식피,지배창면직접봉합.술후소유피판균존활.수방4～25개월,평균15개월,지복외관화공능량호.결론 채용지배오변형피판능구체도일기중건지복불수식피적목적 ,차손상소,수술간단.대우다지병지환자,가동시중건량개지복.
Objective To introduce a new technique for primary reconstruction of the web space after dividing syndactylous fingers without skin graft. Methods A pentagonal flap over the dorsum of the proximal phalanx was designed in 10 cases of congenital syndactyly. The base of the flap was at the metacarpophalangeal joint level. The vertex angle was at the palmar level of the normal web space, while the lateral angles were at the dorsal level of the normal web space. After the fingers were separated, the web vas primarily reconstructed by the pentagonal flap. This technique has been used in 17 webs of 10 congenital syndactyly children. Results All the flaps survived and all the webs were reconstructed primarily without skin graft. The dorsal defects were closed directly. The patients were followed for 4 to 25 months, with an average of 15 months, and demonstrated normal function and good esthetic appearance. Conclusion Utilization of dorsal pentagonal flap can achieve primary web space reconstruction without the need of skin graft. This technique causes less trauma and is easy to master.It can be applied to reconstruct two web spaces in multiple syndactyly cases.
