CAJ | 학술논문

目的利用指动脉残端及创面周围皮肤软组织设计皮瓣,介绍修复指端皮肤缺损的手术方法.方法 2013年1月至2013年4月,采用以一侧指固有动脉神经束残端为皮瓣蒂部或旋转点的两种方法修复指端皮肤缺损16例.观察皮瓣存活及手功能恢复情况.结果 16例皮瓣全部存活.术后随访时间1～3个月,早期皮瓣两点分辨觉为5～ 10 mm.根据中华医学会手外科学会上肢部分功能评定试用标准评定:优13例,良3例;优良率为100％.讨论采用携带指神经的指动脉残端蒂皮瓣修复指端皮肤缺损,创伤小,操作简便,静脉回流好,功能外观满意,是一种非常理想的手术方式,值得推广.
목적 이용지동맥잔단급창면주위피부연조직설계피판,개소수복지단피부결손적수술방법.방법 2013년1월지2013년4월,채용이일측지고유동맥신경속잔단위피판체부혹선전점적량충방법수복지단피부결손16례.관찰피판존활급수공능회복정황.결과 16례피판전부존활.술후수방시간1～3개월,조기피판량점분변각위5～ 10 mm.근거중화의학회수외과학회상지부분공능평정시용표준평정:우13례,량3례;우량솔위100％.토론 채용휴대지신경적지동맥잔단체피판수복지단피부결손,창상소,조작간편,정맥회류호,공능외관만의,시일충비상이상적수술방식,치득추엄.
Objective To introduce two new methods for repairing fingertip skin defect by designing flaps through the use of digital artery stump and skin around the wound.Methods Between January 2013 to April 2013,16 cases of skin defects of the fingertip were treated with flaps pedicled on or pivoted around the digital neurovascular stump.Survival of the flap and recovery of the hand function were evaluated.Results All 16 flaps survived.Postoperative follow-up of 1 to 3 months revealed two-point discrimination of 5 to 10 mm in the flaps.According to the upper limb functional assessment criteria issued by the Chinese Medical Association Hand Surgery Society,the results were excellent in 13 cases and good in 3 cases,the satisfactory rate being 100％.Conclusion Transfer of flap pedicled on the digital artery and nerve stump is an ideal procedure to repair fingertip skin defect in that it causes little trauma,is easy to operate,has good venous drainage,and leads to satisfactory functional and aesthetic results.