CAJ | 학술논문

目的总结邻指指动脉岛状皮瓣及静脉血营养的静脉皮瓣在皮肤缺损型断指再植修复中的临床效果.方法对15例15指皮肤缺损型断指(皮肤缺损位于手指背侧、掌侧及环形),分别采用邻指指动脉岛状皮瓣修复4例,静脉血营养的静脉皮瓣修复9例,邻指指动脉岛状皮瓣联合静脉血营养的静脉皮瓣修复2例.结果 15例断指及其皮瓣全部存活,其中有2例指体术后发生血管危象,行手术探查后断指及皮瓣存活.术后随访1～ 18个月,平均7个月,再植指体无明显短缩,皮瓣质地良好、不臃肿,再植指体外观及功能恢复满意.结论邻指指动脉岛状皮瓣及静脉血营养的静脉皮瓣是修复皮肤缺损型断指再植的有效手术方法.
목적 총결린지지동맥도상피판급정맥혈영양적정맥피판재피부결손형단지재식수복중적림상효과.방법 대15례15지피부결손형단지(피부결손위우수지배측、장측급배형),분별채용린지지동맥도상피판수복4례,정맥혈영양적정맥피판수복9례,린지지동맥도상피판연합정맥혈영양적정맥피판수복2례.결과 15례단지급기피판전부존활,기중유2례지체술후발생혈관위상,행수술탐사후단지급피판존활.술후수방1～ 18개월,평균7개월,재식지체무명현단축,피판질지량호、불옹종,재식지체외관급공능회복만의.결론 린지지동맥도상피판급정맥혈영양적정맥피판시수복피부결손형단지재식적유효수술방법.
Objective To summarize the clinical effects of adjacent finger digital artery island flap and venous blood nutrient flap in the replantation of severed fingers accompanied with skin defects.Methods Fifteen fingers in 15 patients accompanied with dorsal,volar or circumferential skin defects were replanted.The skin defects were covered with digital artery island flap for the adjacent finger in 4 cases,venous blood nutrient flap in 9 cases,and with adjacent finger digital artery island flap combined venous blood nutrient flap in 2 cases.Results All 15 replanted fingers and the flaps survived completely.Postoperative vascular crisis occurred in 2 fingers,which was resolved by surgical exploration and intervention.The fingers and flaps were rescued.The patients were follow-up for 1 to 18 months,with an average of 7 months after the replantation.The replanted fingers had no significant shortening.The flaps had good texture and were not bulky.The appearance and function of the replanted fingers were satisfactory.Conclusion The adjacent finger digital artery island flap and venous blood nutrient flap are effective methods to cover skin defects in replantation of severed fingers.