CAJ | 학술논문

目的探讨采用改良邻指双叶皮瓣治疗指掌侧高压油漆注射伤的疗效.方法自2005年12月至2013年2月收治手指掌侧高压油漆注射伤患者11例,经清创手术后,掌侧创面采用改良邻指双叶皮瓣修复,术后15 ～ 21 d行断蒂术,术后3～7d行功能康复.结果术后11例均获得随访,时间8～28个月,平均22.3个月,均未出现手指坏死,指掌侧皮瓣均存活,手指功能好,根据手指关节总活动度(TAM)系统评定方法:优7例,良3例,可1例.分叶皮瓣远侧叶两点分辨觉为10～13 mm,平均11.3 mm.结论改良邻指双叶皮瓣治疗指掌侧高压油漆注射伤,操作简单,易于推广,效果满意.
목적 탐토채용개량린지쌍협피판치료지장측고압유칠주사상적료효.방법 자2005년12월지2013년2월수치수지장측고압유칠주사상환자11례,경청창수술후,장측창면채용개량린지쌍협피판수복,술후15 ～ 21 d행단체술,술후3～7d행공능강복.결과 술후11례균획득수방,시간8～28개월,평균22.3개월,균미출현수지배사,지장측피판균존활,수지공능호,근거수지관절총활동도(TAM)계통평정방법:우7례,량3례,가1례.분협피판원측협량점분변각위10～13 mm,평균11.3 mm.결론 개량린지쌍협피판치료지장측고압유칠주사상,조작간단,역우추엄,효과만의.
Objective To investigate the clinical results of applying modified bilobular cross-finger flap in treating high-pressure paint injection injuries on the volar aspect of the fingers.Methods From December 2005 to February 2013,11 patients with high-pressure paint injection injuries to the volar aspect of the fingers were treated.After debridement,the modified bilobular cross-finger flap was transferred to cover the tissue defect on the volar aspect of the finger.Flap pedicle was divided between 15 and 21 postoperative days.Functional rehabilitation started 3 to 7 days after the pedicle severance surgery.Results All patients were follow-up for an average of 22.3 months (range,8 to 28 months).There was no finger necrosis.All the flaps survived.Finger function was normal.Based on total active motion (TAM) evaluation,finger function was excellent in 7 cases,good in 3 cases and fair in 1 case.Two point discrimination at the distal portion of the bilobular flap was 11.3 mm (range,10 to 13 mm).Conclusion Modified bilobular cross finger flap transfer can lead to satisfactory results in treating high-pressure paint injection injury to the volar aspect of the fingers.It is an easy operation hence suitable for wide clinical use.