CAJ | 학술논문

目的探讨游离第二趾甲背皮瓣与对侧第二趾胫侧皮瓣瓦合修复手指Ⅰ度套脱伤的可行性.方法测量50例成人中指背侧部分长度(H1),近端宽度(H2),远端宽度(H3)；掌侧部分长度(H4),近端宽度(H5),远端宽度(H6)；第二趾甲背皮瓣理论最大可切取范围的长度(F1),近端宽度(F2),远端宽度(F3)；第二趾胫侧皮瓣理论最大可切取范围的长度(F4),近端宽度(F5),远端宽度(F6).采用SPSS 13.0软件处理数据并将相应径线的差值与零比较.结果 F1平均(4.98±0.52)cm＞ H1平均(3.82±0.20) cm(P＜ 0.05)；F4平均(4.58±0.34) cm＞H4平均(3.91±0.20) cm(P＜0.05)；(F2+ F5)平均(6.39±0.47) cm＞ (H2+ H5)平均(5.40±0.36) cm(P＜ 0.05)；(F3+ F6)平均(4.79±0.34) cm＞ (H3+ H6)平均(3.93±0.32) cm(P＜ 0.05).结论第二趾甲背皮瓣与对侧第二趾胫侧皮瓣瓦合能够覆盖手指Ⅰ度套脱伤的创面.
목적 탐토유리제이지갑배피판여대측제이지경측피판와합수복수지Ⅰ도투탈상적가행성.방법 측량50례성인중지배측부분장도(H1),근단관도(H2),원단관도(H3)；장측부분장도(H4),근단관도(H5),원단관도(H6)；제이지갑배피판이론최대가절취범위적장도(F1),근단관도(F2),원단관도(F3)；제이지경측피판이론최대가절취범위적장도(F4),근단관도(F5),원단관도(F6).채용SPSS 13.0연건처리수거병장상응경선적차치여령비교.결과 F1평균(4.98±0.52)cm＞ H1평균(3.82±0.20) cm(P＜ 0.05)；F4평균(4.58±0.34) cm＞H4평균(3.91±0.20) cm(P＜0.05)；(F2+ F5)평균(6.39±0.47) cm＞ (H2+ H5)평균(5.40±0.36) cm(P＜ 0.05)；(F3+ F6)평균(4.79±0.34) cm＞ (H3+ H6)평균(3.93±0.32) cm(P＜ 0.05).결론 제이지갑배피판여대측제이지경측피판와합능구복개수지Ⅰ도투탈상적창면.
Objective To study the feasibility of repairing class Ⅰ de gloving injuries of the fingers with wrap-around and tibial flaps of the second toes.Methods Measurements were obtained from 50 adults to acquire the length (H1),the proximal width (H2) and the distal width (H3) of dorsal part of the middle finger;the length (H4),the proximal width (H5) and the distal width (H6) of the volar aspect of the middle finger; the length (F1),the proximal width (F2) and the distal width (F3) of the wrap around flap of the second toe; the length (F4),the proximal width (F5) and the distal width (F6) of the tibial flap of the second toe.These data were processed by SPSS 13.0 software,and the difference of corresponding diameters was compared to zero.Results The measurements and statistical analysis showed F1 (4.98±0.52) cm＞H1(3.82±0.20) cm,P＜0.05; F4(4.58±0.34) cm＞H4(3.91±0.20) cm,P＜0.05; (F2+ F5)(6.39±0.47) cm＞ (H2+ H5)(5.40±0.36) cm,P＜0.05; (F3+F6)(4.79±0.34) cm＞ (H3+ H6)(3.93±0.32) cm,P＜0.05.Conclusion The wound of class Ⅰ degloving injuries of the fingers can be covered with wrap-around flap of the second toe combining with tibial flap of the opposite second toe.