湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
JOURNAL OF HUNAN NORMAL UNIVERSITY(MEDICAL SCIENCE)
2013年
1期
72-73,77
,共3页
皮瓣%手外科%修复%神经血管蒂皮瓣%拇指
皮瓣%手外科%脩複%神經血管蒂皮瓣%拇指
피판%수외과%수복%신경혈관체피판%무지
Flap%Hand Surgery%Reconstruction%Neurovascular Pedicle Fascial Flap%thumb
目的：探讨带神经血管蒂指背皮瓣在修复拇指损伤、皮肤软组织缺损的临床应用效果。方法：对本院2010年5月~2011年12月31例应用带神经血管蒂指背皮瓣修复拇指损伤、皮肤软组织缺损的临床资料进行回顾性总结分析。结果：31例皮瓣均成活，无静脉危象及明显肿胀发生，切口均Ⅰ期愈合。术后皮瓣色泽、质地与伤指皮肤相近，外形良好且指腹饱满，皮肤质地弹性好，耐磨，色泽稍淡，感觉恢复良好，静止两点辨别觉5~9 mm，捏、持动作恢复良好。结论：带神经血管蒂指背皮瓣修复拇指损伤、缺损手术操作简单，手术风险低，是修复拇指损伤，皮肤软组织缺损修复的可行方法。
目的：探討帶神經血管蒂指揹皮瓣在脩複拇指損傷、皮膚軟組織缺損的臨床應用效果。方法：對本院2010年5月~2011年12月31例應用帶神經血管蒂指揹皮瓣脩複拇指損傷、皮膚軟組織缺損的臨床資料進行迴顧性總結分析。結果：31例皮瓣均成活，無靜脈危象及明顯腫脹髮生，切口均Ⅰ期愈閤。術後皮瓣色澤、質地與傷指皮膚相近，外形良好且指腹飽滿，皮膚質地彈性好，耐磨，色澤稍淡，感覺恢複良好，靜止兩點辨彆覺5~9 mm，捏、持動作恢複良好。結論：帶神經血管蒂指揹皮瓣脩複拇指損傷、缺損手術操作簡單，手術風險低，是脩複拇指損傷，皮膚軟組織缺損脩複的可行方法。
목적：탐토대신경혈관체지배피판재수복무지손상、피부연조직결손적림상응용효과。방법：대본원2010년5월~2011년12월31례응용대신경혈관체지배피판수복무지손상、피부연조직결손적림상자료진행회고성총결분석。결과：31례피판균성활，무정맥위상급명현종창발생，절구균Ⅰ기유합。술후피판색택、질지여상지피부상근，외형량호차지복포만，피부질지탄성호，내마，색택초담，감각회복량호，정지량점변별각5~9 mm，날、지동작회복량호。결론：대신경혈관체지배피판수복무지손상、결손수술조작간단，수술풍험저，시수복무지손상，피부연조직결손수복적가행방법。
Objective To analyze and discuss the clinical application of neurovascular pedicle fascial flap in repairing skin and soft tissue defect of thumb trauma. Methods The clinical datum of 31 cases from 2010 May~2011 December in our hospital applied neurovascular pedicle fascial flap in the repairing of skin and soft tissue defect of thumb trauma were analyze and discussed retrospectively. Results The cuts of 31 cases of skin and soft tissue defect of thumb trauma applied neurovascular pedicle fascial flap were healed. The color of flap skin and texture were close to normal. The injured finger was in good shape with elasticity, abrasion resistance. The sensory were recovered, the static two-point discrimination is 5~9 mm. Conclusion Surgical procedure of neurovascular pedicle fascial flap in the repairing of skin and soft tissue defect of thumb trauma is simple and safe, the risk is low and the effects were significant.
