中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2012年
6期
364-365
,共2页
拇指%外科皮瓣%移植
拇指%外科皮瓣%移植
무지%외과피판%이식
Thumb%Surgical flaps%Transplantation
目的 介绍一种拇指末节指端缺损修复的改进方法.方法 应用拇指尺背侧皮神经营养血管远端蒂皮瓣转移修复拇指末节指端缺损患者19例,并应用静脉吻合,改善皮瓣的静脉回流,同时行皮神经缝合重建皮瓣感觉.结果 术后皮瓣全部存活,随访6～24个月,拇指外形和功能满意.结论 拇指尺背侧皮神经营养血管远端蒂皮瓣是修复拇指末节指端缺损的较好方法之一.
目的 介紹一種拇指末節指耑缺損脩複的改進方法.方法 應用拇指呎揹側皮神經營養血管遠耑蒂皮瓣轉移脩複拇指末節指耑缺損患者19例,併應用靜脈吻閤,改善皮瓣的靜脈迴流,同時行皮神經縫閤重建皮瓣感覺.結果 術後皮瓣全部存活,隨訪6～24箇月,拇指外形和功能滿意.結論 拇指呎揹側皮神經營養血管遠耑蒂皮瓣是脩複拇指末節指耑缺損的較好方法之一.
목적 개소일충무지말절지단결손수복적개진방법.방법 응용무지척배측피신경영양혈관원단체피판전이수복무지말절지단결손환자19례,병응용정맥문합,개선피판적정맥회류,동시행피신경봉합중건피판감각.결과 술후피판전부존활,수방6～24개월,무지외형화공능만의.결론 무지척배측피신경영양혈관원단체피판시수복무지말절지단결손적교호방법지일.
Objective To introduce an improved method of fingertip reconstruction of the thumb.Methods The reversed ulnedorsal neurocutaneous vascular flap was transferred to cover fingertip defects of the thumb in 19 cases.Nerve and venous anastomosis was done to improve blood drainage and to restore sensation of the flaps.Results All 19 flaps survived.Postoperative follow-up of 6 to 24 months showed satisfactory appearance and good function of the thumbs.Conclusion Transfer of reversed ulnodorsal neurocutaneous vascular flap with nerve and venous anastomosis is an optimal choice in the treatment of finger pulp defects of the thumb.
