CAJ | 학술논문

目的：报道改良掌背皮瓣修复手指中、远节皮肤组织缺损的临床应用。方法：2011年3月-2014年9月，采用改良掌背皮瓣治疗各指中、远节皮肤缺损8例。将掌背皮瓣的旋转点位于指蹼以远、近节指间关节近1.0cm之间。皮瓣切取面积：2.0cm×2.0cm～5.5cm×3.5cm。结果：7例皮瓣全部成活，1例皮瓣远端部分坏死经换药等处理瘢痕愈合。术后平均随访6个月，皮瓣外形、色泽、血运良好，厚薄适中，两点辩别觉1.1～2.5cm手部功能满意。结论：改良掌背皮瓣（将皮瓣旋转点向远端推移至指蹼以远）修复手指中、远节皮肤组织缺损的临床疗效良好。
목적：보도개량장배피판수복수지중、원절피부조직결손적림상응용。방법：2011년3월-2014년9월，채용개량장배피판치료각지중、원절피부결손8례。장장배피판적선전점위우지복이원、근절지간관절근1.0cm지간。피판절취면적：2.0cm×2.0cm～5.5cm×3.5cm。결과：7례피판전부성활，1례피판원단부분배사경환약등처리반흔유합。술후평균수방6개월，피판외형、색택、혈운량호，후박괄중，량점변별각1.1～2.5cm수부공능만의。결론：개량장배피판（장피판선전점향원단추이지지복이원）수복수지중、원절피부조직결손적림상료효량호。
Objective To discuss the clinical application of improved dorsal metacarpal flap in repairing of the middle and distal segment of finger skin defects. Methods Summary of 8 cases with skin defects in the middle and distal segment of finger were repaired with improved dorsal metacarpal flap since March 2011 to September 2014.The rotation point of the dorsal metacarpal flap located in Webbed finger refers to Far and near section between nearly 1cm of the interphalangeal joint. The area of the flap was cut out is from 2.0cmí2.0cm- 5.5cmí3.5cm. Results 7 cases flaps were all survived,one distal portion of the flap necrosis was scar healed by dressing and other treatment.Good appearance,colour and lustre,blood supply of the flap, medium thickness,two- point discrimination 1.1cm to 2.5cm and satisfaction of hand function have been seen after an average followed - up of 6 months. Conclusion There was a good clinical efficacy improved dorsal metacarpal flap in repairing of the middle and distal segment of finger skin defects.