摘要
自１９８９年２月～１９９５年３月，对２３例手部烧伤后重度虎口挛缩行瘢痕切除及虎口开大后，选用带旋髂浅血管蒂的腹股沟皮瓣移植重建虎口，术后均取得了满意效果。虎口挛缩的程度为０°～２５°。虎口开大后达８０°～９０°。虎口区瘢痕切除后皮肤缺损最小８ｃｍ×５ｃｍ，最大１２ｃｍ×６ｃｍ，平均１０ｃｍ×５ｃｍ。皮瓣切取面积最小１４ｃｍ×７ｃｍ，最大１８ｃｍ×８ｃｍ，平均１６ｃｍ×７ｃｍ。术后皮瓣断蒂时间为２～３周，２３例皮瓣均完全成活。对重度虎口挛缩应用带旋髂浅血管蒂的腹股沟皮瓣移植重建虎口是一种简单易行、成功率高的方法。因其具有供区部位隐蔽，皮肤质量好，不损伤肢体重要血管及可早期断蒂等优点，极易被患者接受。
From February 1989 to March 1995, 23 cases of severe contracture of thumb-index finger web space were reconstructed by using groin cutaneous pedicle flaps with superficial circumflex iliac artery. The maximum angle of thumb-index finger web space was 0° to 25° before operation and corrected to 80° to 90° after reconstruction. The minimal soft tissue defect after incision and abducting this finger web space was 8×5 square centimetre and the maximal was 12×6 square centimetre, with a mean of 10×5 square centimetre. The minimal groin cutaneous pedicle flap was 14×7 square centimetre and the maximal was 18×8 square centimeter, with a mean of 16×7 square centimetre. The pedicle of the flap was divided 2 to 3 weeks after operation. All flaps were survived and the results of the treatment were very satisfactory. We concluded that using groin pedicle flap with superficial circumflex iliac artery transfer for reconstruction of the thumb-index finger web space severe contracture is a simple, high success rate technique. The advantage of the groin cutaneous flap is its being concealed after operation with no serious complication and very easily accepted by the patient.
出处
《实用美容整形外科杂志》
1997年第1期25-27,共3页
Journal of Practical Aesthetic and Plastic Surgery
