中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
22期
13-14
,共2页
欧阳阳钢%王洁%梁海%刘瑞祥%黄凤荣%杨永刚
歐暘暘鋼%王潔%樑海%劉瑞祥%黃鳳榮%楊永剛
구양양강%왕길%량해%류서상%황봉영%양영강
游离移植%指损伤%趾甲皮瓣
遊離移植%指損傷%趾甲皮瓣
유리이식%지손상%지갑피판
Graft%Finger injury%Toenail flap
目的:探讨游离移植第二趾趾甲瓣修饰性再造修复手指软组织及甲床缺损。方法:通过对2012年1月-2014年1月在笔者所在医院进行治疗的20例手指软组织及甲床缺损患者给予游离移植第二趾趾甲瓣修饰性再造修复术,观察患者的治疗效果。结果:20例患者术后全部成活,成功率为100%。术后手部恢复,优14例,良6例,优良率为100%。3例患者出现血管危象,2例患者出现伤口感染,并发症发生率为25%,经探查和技术诊断并发症消失。结论:游离移植第二趾趾甲瓣修饰性再造修复手指软组织及甲床缺损,操作简便,创伤小,成功率高,感觉及功能恢复状况良好,减轻患者痛苦,为修复手指软组织及甲床缺损的首选方法之一,临床值得推广应用。
目的:探討遊離移植第二趾趾甲瓣脩飾性再造脩複手指軟組織及甲床缺損。方法:通過對2012年1月-2014年1月在筆者所在醫院進行治療的20例手指軟組織及甲床缺損患者給予遊離移植第二趾趾甲瓣脩飾性再造脩複術,觀察患者的治療效果。結果:20例患者術後全部成活,成功率為100%。術後手部恢複,優14例,良6例,優良率為100%。3例患者齣現血管危象,2例患者齣現傷口感染,併髮癥髮生率為25%,經探查和技術診斷併髮癥消失。結論:遊離移植第二趾趾甲瓣脩飾性再造脩複手指軟組織及甲床缺損,操作簡便,創傷小,成功率高,感覺及功能恢複狀況良好,減輕患者痛苦,為脩複手指軟組織及甲床缺損的首選方法之一,臨床值得推廣應用。
목적:탐토유리이식제이지지갑판수식성재조수복수지연조직급갑상결손。방법:통과대2012년1월-2014년1월재필자소재의원진행치료적20례수지연조직급갑상결손환자급여유리이식제이지지갑판수식성재조수복술,관찰환자적치료효과。결과:20례환자술후전부성활,성공솔위100%。술후수부회복,우14례,량6례,우량솔위100%。3례환자출현혈관위상,2례환자출현상구감염,병발증발생솔위25%,경탐사화기술진단병발증소실。결론:유리이식제이지지갑판수식성재조수복수지연조직급갑상결손,조작간편,창상소,성공솔고,감각급공능회복상황량호,감경환자통고,위수복수지연조직급갑상결손적수선방법지일,림상치득추엄응용。
Objective:To investigate graft modification of the second toe nail flap reconstruction and repair of soft tissue finger nail bed defect. Method:From Jan 2012 to Jan 2014 in our hospital for treatment of 20 cases of soft tissue and finger nail bed defects were treated with transplantation of the second toe nail free flap reconstruction repair modification observed patient outcomes.Result:All patients survived after operation,the success rate was 100%. After surgery all hands recovered,14 patients were excellent,6 patients were good,the rate was 100%.Vascular crisis occurred in 3 patients,2 patients had wound infection,complication rate was 25%,through exploration and technical diagnostics all complications were disappear.Conclusion:The graft modification second toe nail flap reconstruction and repair of soft tissue finger nail bed defect is simple,has less invasive,high success rate,sensory and functional recovery in good condition,to alleviate the suffering of patients,for the repair of soft tissue and finger nail bed defects one preferred method,is worthy of clinical application.