中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2015年
2期
126-128
,共3页
唐林峰%巨积辉%蒋国栋%金光哲%李祥军%张广亮%侯瑞兴
唐林峰%巨積輝%蔣國棟%金光哲%李祥軍%張廣亮%侯瑞興
당림봉%거적휘%장국동%금광철%리상군%장엄량%후서흥
指损伤%外科皮瓣%掌指背V-Y推进皮瓣%供区并发症
指損傷%外科皮瓣%掌指揹V-Y推進皮瓣%供區併髮癥
지손상%외과피판%장지배V-Y추진피판%공구병발증
Finger injuries%Surgical flaps%Dorsal palm-finger V-Y advancement flap%Donor site complications
目的 探讨应用指背神经筋膜蒂皮瓣修复指端皮肤软组织缺损,皮瓣供区应用掌指背V-Y推进皮瓣修复的临床效果.方法 2012年1月至2013年12月,设计应用指背神经筋膜蒂皮瓣修复指端皮肤软组织缺损患者13例,男8例,女5例;年龄18 ~ 55岁,平均38.5岁.皮瓣供区均采用掌指背V-Y推进皮瓣修复.结果 本组13块指背神经筋膜蒂皮瓣及掌指背V-Y推进皮瓣全部存活.术后随访3个月至2年,平均15个月,指背神经筋膜蒂皮瓣外形及感觉恢复良好,供区掌指背皮瓣质地优良,无明显瘢痕增生,感觉恢复良好,指蹼无挛缩,伤指功能恢复满意.结论 应用指背神经筋膜蒂皮瓣修复指端皮肤软组织缺损,皮瓣供区应用掌指背V-Y推进皮瓣修复,获得较好的临床效果,与传统供区植皮术式相比,能有效避免供区植皮凹陷、瘢痕增生及植皮坏死等并发症.
目的 探討應用指揹神經觔膜蒂皮瓣脩複指耑皮膚軟組織缺損,皮瓣供區應用掌指揹V-Y推進皮瓣脩複的臨床效果.方法 2012年1月至2013年12月,設計應用指揹神經觔膜蒂皮瓣脩複指耑皮膚軟組織缺損患者13例,男8例,女5例;年齡18 ~ 55歲,平均38.5歲.皮瓣供區均採用掌指揹V-Y推進皮瓣脩複.結果 本組13塊指揹神經觔膜蒂皮瓣及掌指揹V-Y推進皮瓣全部存活.術後隨訪3箇月至2年,平均15箇月,指揹神經觔膜蒂皮瓣外形及感覺恢複良好,供區掌指揹皮瓣質地優良,無明顯瘢痕增生,感覺恢複良好,指蹼無攣縮,傷指功能恢複滿意.結論 應用指揹神經觔膜蒂皮瓣脩複指耑皮膚軟組織缺損,皮瓣供區應用掌指揹V-Y推進皮瓣脩複,穫得較好的臨床效果,與傳統供區植皮術式相比,能有效避免供區植皮凹陷、瘢痕增生及植皮壞死等併髮癥.
목적 탐토응용지배신경근막체피판수복지단피부연조직결손,피판공구응용장지배V-Y추진피판수복적림상효과.방법 2012년1월지2013년12월,설계응용지배신경근막체피판수복지단피부연조직결손환자13례,남8례,녀5례;년령18 ~ 55세,평균38.5세.피판공구균채용장지배V-Y추진피판수복.결과 본조13괴지배신경근막체피판급장지배V-Y추진피판전부존활.술후수방3개월지2년,평균15개월,지배신경근막체피판외형급감각회복량호,공구장지배피판질지우량,무명현반흔증생,감각회복량호,지복무련축,상지공능회복만의.결론 응용지배신경근막체피판수복지단피부연조직결손,피판공구응용장지배V-Y추진피판수복,획득교호적림상효과,여전통공구식피술식상비,능유효피면공구식피요함、반흔증생급식피배사등병발증.
Objective To investigate the treatment of the dorsal palm-finger V-Y advanced pedicled flap with dorsal digital nerves to repair finger pulp defect.Methods From January 2012 to December 2013,13 patients (8 males and 5 females) with fingertip skin defects were treated with dorsal palm-finger V-Y advanced pedicled flap.The patients aged from 18 to 55,with an average of 38.5.Results All flaps survived.These cases were follow-up for 3 to 24 months postoperatively,15 months on average.All pedicled fasciocutaneous flaps with dorsal digital nerves got satisfactory appearance and recovered good sensory function.The character and sensory function of dorsal palm-finger V-Y advanced flap was good.No obvious scar hyperplasia or web contracture was seen.Conclusion Application of the dorsal palm-finger V-Y advanced pedicled flap with dorsal digital nerves to repair finger pulp defect could achieve good clinical effect.Compared with traditional skin grafting,it could avoid the complications such as skin graft depression,sear hyperplasia,skin graft necrosis and so on.