中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2014年
1期
14-16
,共3页
古汉南%张子清%古小玲%李木卫%陈瑶%杨延军%马立峰
古漢南%張子清%古小玲%李木衛%陳瑤%楊延軍%馬立峰
고한남%장자청%고소령%리목위%진요%양연군%마립봉
(足母)甲瓣%供区%腓动脉穿支皮瓣%显微外科手术
(足母)甲瓣%供區%腓動脈穿支皮瓣%顯微外科手術
(족모)갑판%공구%비동맥천지피판%현미외과수술
Wrap-around flap of toe%Donor sites%Peroneal artery perforator flap%Microsurgical operation
目的 探讨(足母)甲瓣移植术后供区创面采用吻合血管的腓动脉穿支皮瓣游离移植修复的应用价值 方法 2008年1月至2013年3月,收治26例因外伤致手拇指近、末节撕脱,皮肤与甲床组织缺损患者,施行吻合神经、血管的(足母)甲瓣游离移植修复拇指后,采用吻合血管的腓动脉穿支皮瓣游离移植修复第一趾皮瓣供区皮肤与甲床组织缺损. 结果 26例皮瓣全部顺利成活,经3个月～4年随访,(足母)趾供区保留了趾体原有的长度,皮瓣外形无臃肿,皮肤耐磨性可,痛觉、温觉、触觉有部分恢复,两点辨别觉达5 ～10 mm,除供足穿人字拖鞋有不适外,站立、行走无明显不适. 结论 采用腓动脉穿支皮瓣游离移植是修复因甲瓣游离移植修复拇指后第一趾皮瓣供区皮肤与甲床组织缺损创面的良好方法.
目的 探討(足母)甲瓣移植術後供區創麵採用吻閤血管的腓動脈穿支皮瓣遊離移植脩複的應用價值 方法 2008年1月至2013年3月,收治26例因外傷緻手拇指近、末節撕脫,皮膚與甲床組織缺損患者,施行吻閤神經、血管的(足母)甲瓣遊離移植脩複拇指後,採用吻閤血管的腓動脈穿支皮瓣遊離移植脩複第一趾皮瓣供區皮膚與甲床組織缺損. 結果 26例皮瓣全部順利成活,經3箇月～4年隨訪,(足母)趾供區保留瞭趾體原有的長度,皮瓣外形無臃腫,皮膚耐磨性可,痛覺、溫覺、觸覺有部分恢複,兩點辨彆覺達5 ～10 mm,除供足穿人字拖鞋有不適外,站立、行走無明顯不適. 結論 採用腓動脈穿支皮瓣遊離移植是脩複因甲瓣遊離移植脩複拇指後第一趾皮瓣供區皮膚與甲床組織缺損創麵的良好方法.
목적 탐토(족모)갑판이식술후공구창면채용문합혈관적비동맥천지피판유리이식수복적응용개치 방법 2008년1월지2013년3월,수치26례인외상치수무지근、말절시탈,피부여갑상조직결손환자,시행문합신경、혈관적(족모)갑판유리이식수복무지후,채용문합혈관적비동맥천지피판유리이식수복제일지피판공구피부여갑상조직결손. 결과 26례피판전부순리성활,경3개월～4년수방,(족모)지공구보류료지체원유적장도,피판외형무옹종,피부내마성가,통각、온각、촉각유부분회복,량점변별각체5 ～10 mm,제공족천인자타혜유불괄외,참립、행주무명현불괄. 결론 채용비동맥천지피판유리이식시수복인갑판유리이식수복무지후제일지피판공구피부여갑상조직결손창면적량호방법.
Objective To investigate the prothetic effect of free grafting of microvascular anastomotic peroneal artery perforator flap when used to repair the donor tissue defects of wrap-around flap of toe.Methods From January 2008 to March 2013,twenty-six cases thumb avulsion at proximal and distal phalanx level with skin and nail bed defect caused by trauma were admitted to our hospital.After incising wrap-around flap of toe to repair the thumb defects,microvascular anastomotic peroneal artery perforator flap was transplanted freely to repair the donor site of it.Results The skin flaps of 26 cases all successfully survived.After a followed-up of 3 months to 4 years,the length of donor toes were the same as before.The appearance of skin flaps were no fat and clumsy and the abradability of their skin were well.Algesia,thalposis and thigmesthesia were partially recovery.Two point discrimination reached to 5-10 mm.There were no obvious uncomfortableness in donor feet when standing and walking except wearing flip-flops.Conclusion Free grafting of peroneal artery perforator flap is a good method to repair the donor defect caused by incising wrap-around flap of toe.
