中华烧伤杂志
中華燒傷雜誌
중화소상잡지
16
2015年
2期
112-115
,共4页
外科皮瓣%足%软组织损伤%手%显微外科手术%贯穿
外科皮瓣%足%軟組織損傷%手%顯微外科手術%貫穿
외과피판%족%연조직손상%수%현미외과수술%관천
Surgical flaps%Foot%Soft tissue injuries%Hand%Microsurgery%Perforation
目的 探讨采用足背并联皮瓣修复手掌贯穿性皮肤软组织缺损的疗效. 方法 2008年7月-2010年11月,笔者单位收治18例手掌贯穿性皮肤软组织缺损患者.单处皮肤软组织缺损面积为2.0 cm×l.5 cm～5.0 cm ×2.5 cm.应用足背并联皮瓣治疗,单处皮瓣切取面积为2.0 cm×2.0 cm～5.5 cm ×3.0 cm.供瓣区创面采用自体大腿内侧全厚皮片修复. 结果 术后18例患者皮瓣全部成活,所有足部供区植皮均成活.本组17例患者术后随访6～23个月,平均10个月;l例患者失访.17例皮瓣外观恢复较好,皮瓣质地柔软、弹性好,无臃肿,未见明显色素沉着以及瘢痕挛缩.行神经吻合的13例患者,末次随访时皮瓣两点辨别觉距离为6.0 ～9.0 mm,平均7.4 mm,感觉功能评定达到S3级. 结论 足背并联皮瓣血运可靠、设计灵活,是修复手掌贯穿性皮肤软组织缺损的较佳选择.
目的 探討採用足揹併聯皮瓣脩複手掌貫穿性皮膚軟組織缺損的療效. 方法 2008年7月-2010年11月,筆者單位收治18例手掌貫穿性皮膚軟組織缺損患者.單處皮膚軟組織缺損麵積為2.0 cm×l.5 cm～5.0 cm ×2.5 cm.應用足揹併聯皮瓣治療,單處皮瓣切取麵積為2.0 cm×2.0 cm～5.5 cm ×3.0 cm.供瓣區創麵採用自體大腿內側全厚皮片脩複. 結果 術後18例患者皮瓣全部成活,所有足部供區植皮均成活.本組17例患者術後隨訪6～23箇月,平均10箇月;l例患者失訪.17例皮瓣外觀恢複較好,皮瓣質地柔軟、彈性好,無臃腫,未見明顯色素沉著以及瘢痕攣縮.行神經吻閤的13例患者,末次隨訪時皮瓣兩點辨彆覺距離為6.0 ～9.0 mm,平均7.4 mm,感覺功能評定達到S3級. 結論 足揹併聯皮瓣血運可靠、設計靈活,是脩複手掌貫穿性皮膚軟組織缺損的較佳選擇.
목적 탐토채용족배병련피판수복수장관천성피부연조직결손적료효. 방법 2008년7월-2010년11월,필자단위수치18례수장관천성피부연조직결손환자.단처피부연조직결손면적위2.0 cm×l.5 cm～5.0 cm ×2.5 cm.응용족배병련피판치료,단처피판절취면적위2.0 cm×2.0 cm～5.5 cm ×3.0 cm.공판구창면채용자체대퇴내측전후피편수복. 결과 술후18례환자피판전부성활,소유족부공구식피균성활.본조17례환자술후수방6～23개월,평균10개월;l례환자실방.17례피판외관회복교호,피판질지유연、탄성호,무옹종,미견명현색소침착이급반흔련축.행신경문합적13례환자,말차수방시피판량점변별각거리위6.0 ～9.0 mm,평균7.4 mm,감각공능평정체도S3급. 결론 족배병련피판혈운가고、설계령활,시수복수장관천성피부연조직결손적교가선택.
Objective To explore the effect of dorsalis pedis parallel flaps in repairing perforating skin and soft tissue defects of the palms.Methods Eighteen patients with perforating skin and soft tissue defects of the palms were hospitalized from July 2008 to November 2010.The area of skin defect ranged from 2.0 cm × 1.5 cm to 5.0 cm ×2.5 cm.The dorsalis pedis parallel flaps were used to repair these defects,with the area ranging from 2.0 cm × 2.0 cm to 5.5 cm × 3.0 cm.The donor sites were covered with autologous full-thickness skin from inner thigh.Results All the 18 flaps and skin grafts of donor sites survived completely.Seventeen patients were followed up for 6 to 23 months,with mean time of 10 months,and one patient was lost to follow-up.The texture,elasticity,and appearance of all the 17 flaps were satisfactory,with no obvious pigmentation or cicatricial contracture.At the last follow-up,the distance of two-point discrimination of flaps ranged from 6 to 9 mm,with mean distance of 7.4 mm,and the sensation of flaps reached S3 in 13 patients who had nerve anastomosis.Conclusions The dorsalis pedis parallel flap,with reliable blood supply and flexible design,is a good choice for repairing perforating skin and soft tissue defects of the palms.
