CAJ | 학술논문

目的总结虎口背侧皮瓣修复手部皮肤软组织缺损的临床价值与经验体会.方法回顾性分析2010年1月~2011年12月67例虎口背侧皮瓣修复手部皮肤软组织缺损患者的相关临床资料.结果本组病例的术后住院时间为8~26 d,平均(14.9±1.3)d.术后随访3~8个月,平均(4.9±0.6)个月.本组病例中,皮瓣Ⅰ期愈合63例(94.0%),皮瓣的外形及供区功能较为满意,皮瓣色泽、弹性、质地、感觉等恢复良好.其余病例中,术后出现皮瓣张力性水泡3例(4.5%),予拆线后成活;桡背侧动脉皮瓣远端回流障碍1例(1.5%),部分拆开蒂部缝线后,给予肝素盐水湿敷,术后23 d愈合.结论虎口背侧皮瓣修复手部皮肤软组织缺损具有操作简单、成活率较高及术后效果良好等优点,值得进一步推广和应用.
목적총결호구배측피판수복수부피부연조직결손적림상개치여경험체회.방법회고성분석2010년1월~2011년12월67례호구배측피판수복수부피부연조직결손환자적상관림상자료.결과본조병례적술후주원시간위8~26 d,평균(14.9±1.3)d.술후수방3~8개월,평균(4.9±0.6)개월.본조병례중,피판Ⅰ기유합63례(94.0%),피판적외형급공구공능교위만의,피판색택、탄성、질지、감각등회복량호.기여병례중,술후출현피판장력성수포3례(4.5%),여탁선후성활;뇨배측동맥피판원단회류장애1례(1.5%),부분탁개체부봉선후,급여간소염수습부,술후23 d유합.결론호구배측피판수복수부피부연조직결손구유조작간단、성활솔교고급술후효과량호등우점,치득진일보추엄화응용.
Objective Summary of first dorsal skin flap repair of soft tissue defect of hand and experience of clinical value. Methods A retrospective analysis of our hospital from 2010 January -2011 year in December 67 cases of dorsal hand flap to repair hand skin soft tissue defect in patients with clinical data. Results In the cases of postoperative hospitalization time was 8-26 d, the average (14.9±1.3) d. After follow-up for 3-8 months, mean (4.9±0.6) months. In this group of cases, the flap healed in 63 cases (94.0%), flap of the appearance and function of donor area is satisfied, elasticity, texture, color, skin feel, good recovery. The remaining cases, postoperative flap tension vesicle in 3 cases (4.5%), to the stitches after survival; dorsal radial artery flap for distal reflux disorders in 1 cases (1.5%), portions apart of pedicle of sutures, given heparin saline, 23 d postoperative healing. Conclusion Its dorsal skin flap in the repair of hand skin soft tissue defect has the advantages of simple operation, high survival rate and postoperative effect of good, worthy of further promotion and the application.