CAJ | 학술논문

目的探讨采用指背五边形皮瓣重建指蹼治疗先天性并指的临床疗效.方法 2007年10月至2009年8月利用指背五边形皮瓣重建指蹼治疗先天性并指的患者10例,并进行了随访,采用客观的手指功能检查、指蹼形态观察以及患者主观满意度评价手术效果.结果 10例患者均获随访,随访时间4～25个月,平均15个月.各例指蹼外观均接近正常指蹼,并指分指后手指被动屈伸功能正常,外展度30°～45°.指蹼爬移率和再次矫形率均为0,患者家属对手术效果满意.结论采用指背五边形皮瓣重建指蹼治疗先天性并指,术后皮瓣成活率高,指蹼外观功能接近正常指蹼,再次矫形率低,皮瓣设计及手术操作相对简单,便于掌握.
목적 탐토채용지배오변형피판중건지복치료선천성병지적림상료효.방법 2007년10월지2009년8월이용지배오변형피판중건지복치료선천성병지적환자10례,병진행료수방,채용객관적수지공능검사、지복형태관찰이급환자주관만의도평개수술효과.결과 10례환자균획수방,수방시간4～25개월,평균15개월.각례지복외관균접근정상지복,병지분지후수지피동굴신공능정상,외전도30°～45°.지복파이솔화재차교형솔균위0,환자가속대수술효과만의.결론 채용지배오변형피판중건지복치료선천성병지,술후피판성활솔고,지복외관공능접근정상지복,재차교형솔저,피판설계급수술조작상대간단,편우장악.
Objective To investigate the therapeutic effect of dorsal pentagonal flap for reconstruction of the web space in congenital syndactyly. Methods From October 2007 to August 2009,10 patients with congenital syndactyly were treated with dorsal pentagonal flap for web space reconstruction.During the follow-up period, the patients underwent finger functional assessment and web space appearance examination. The satisfactory rate of patients was also investigated. Results 10 patients with 17 reconstructed web spaces were followed up for 4-25 months(median, 15 months). Normal passive flexion and extension of fingers were achieved with good cosmetic result at web space. The abduction angle of fingers ranged from 30°to 45°. No web creep occurred and no secondary procedures were required. All the parents of the patients were satisfied with the results. Conclusions Web space reconstruction with dorsal pentagonal flap is easily performed with reliable blood supply and low re-operated rate. The cosmetic and functional result is satisfactory.