中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
21期
31-31,32
,共2页
腹部带蒂皮瓣%手外伤%软组织缺损
腹部帶蒂皮瓣%手外傷%軟組織缺損
복부대체피판%수외상%연조직결손
Abdominal pedicle flap%Hand injuries%Soft tissue defects
目的：探讨腹部带蒂皮瓣在手外伤伴软组织缺损应用中的临床应用效果。方法对收治的37例（76指）手外伤伴软组织缺损伴肌腱、骨外露应用微型腹部带蒂皮瓣进行修复。结果90指皮瓣全部成活，8指皮瓣边缘出现水疱、瘀紫癍，间断拆除部分缝线，皮瓣边缘血运恢复正常，5指发生皮瓣边缘坏死，经换药自行愈合。结论腹部带真皮下血管网带蒂皮瓣是修复手外伤伴软组织缺损的有效方法之一，手术操作简单，风险小，皮辩成活率高，手术效果比较好，适合临床推广。
目的：探討腹部帶蒂皮瓣在手外傷伴軟組織缺損應用中的臨床應用效果。方法對收治的37例（76指）手外傷伴軟組織缺損伴肌腱、骨外露應用微型腹部帶蒂皮瓣進行脩複。結果90指皮瓣全部成活，8指皮瓣邊緣齣現水皰、瘀紫癍，間斷拆除部分縫線，皮瓣邊緣血運恢複正常，5指髮生皮瓣邊緣壞死，經換藥自行愈閤。結論腹部帶真皮下血管網帶蒂皮瓣是脩複手外傷伴軟組織缺損的有效方法之一，手術操作簡單，風險小，皮辯成活率高，手術效果比較好，適閤臨床推廣。
목적：탐토복부대체피판재수외상반연조직결손응용중적림상응용효과。방법대수치적37례（76지）수외상반연조직결손반기건、골외로응용미형복부대체피판진행수복。결과90지피판전부성활，8지피판변연출현수포、어자반，간단탁제부분봉선，피판변연혈운회복정상，5지발생피판변연배사，경환약자행유합。결론복부대진피하혈관망대체피판시수복수외상반연조직결손적유효방법지일，수술조작간단，풍험소，피변성활솔고，수술효과비교호，괄합림상추엄。
Objective To investigate the abdominal flap with the clinical effect of soft tissue defect in the hand injury. Methods 37 cases(76 fingers)treated by hand injury with soft tissue defect with tendon, bone exposure using micro pedicled abdominal flap. Results 90 fingers were survived, 8 fingers flap edge blisters, stasis purple macula, removal of part of the flap edge interrupted suture, blood return to normal, 5 finger flap edge necrosis occurred, the self healing dressing. Conclusion Abdominal subdermal vascular network skin flap is one of the effective method of soft tissue defect with repair of hand trauma, simple operation, low risk, skin flap survival rate is high, operation effect is good, suitable for clinical application.
