CAJ | 학술논문

目的介绍指腹梭形皮瓣转移整形再造指的方法.方法对7例(9指)再造指术后4～12个月,于指腹较臃肿侧切取梭形皮瓣,保留近端皮下纤维脂肪组织为蒂,逆行转移150°～170°,嵌入再造指中节狭窄细小段,使其增粗.再造指腹供区直接缝合变细,更接近原手指外形.皮瓣切取面积为0.5 cm×1.0 cm～0.8 cm×1.5 cm.结果临床应用7例(9指)转移梭形皮瓣全部存活.术后随访3～12个月,再造指外形更美观,不影响感觉、运动功能的恢复.结论用再造指指腹梭形皮瓣转移整形再造手指,能明显改善再造指的外形,使再造指更加美观.
목적 개소지복사형피판전이정형재조지적방법.방법 대7례(9지)재조지술후4～12개월,우지복교옹종측절취사형피판,보류근단피하섬유지방조직위체,역행전이150°～170°,감입재조지중절협착세소단,사기증조.재조지복공구직접봉합변세,경접근원수지외형.피판절취면적위0.5 cm×1.0 cm～0.8 cm×1.5 cm.결과 림상응용7례(9지)전이사형피판전부존활.술후수방3～12개월,재조지외형경미관,불영향감각、운동공능적회복.결론 용재조지지복사형피판전이정형재조수지,능명현개선재조지적외형,사재조지경가미관.
Objective Tointroduce a new method to improve the appearance of reconstructed fingers.Methods Nine reconstructed fingers in 7 patients were re-operated at 4 to 12 months after the first surgery.A fusiform flap was designed at the bulky side of the finger pulp.An adilofibrous pedicle was based at the proximal end of the flap and the flap was rotated 150°to 170°to be insetted in.the narrow portion of the second phalanx of the reconstructed finger.Donor site of the fingertip was directly closed and hence the finger pulp debulked.The appearance of the reconstructed fingers was near normal.The size of flaps ranged from 0.5 cm×1.0 cin to0.8 cm×1.5 cm.All the cRses were foilowed for 3 to 12 months.Results All the flaps survived completely.The reconstructed fingers had good appearance.The sensory and motor functions of the finger were not affected by harvesting the pulp flap.Conclusion Fusiform flap transferred from the finger pulp to the middle phalanx can largely improve the appearance of reconstructed fingers.