摘要
目的探讨拇手指缺损急诊修饰性再造的方法,观察其临床疗效。方法对41例拇手指不同程度的缺损,分别应用部分(足母)趾甲皮瓣或第二趾甲皮瓣修复15例,应用(足母)趾甲皮瓣修复8例,应用第二趾趾尖再造7例,(足母)趾腹皮瓣或第二趾侧方瓣修复11例。结果本组41例全部成活,1例(足母)趾甲皮瓣稍显臃肿,予二期手术修整。余病例经4～18个月随访,功能外形良好,指甲生长优良。供足行走功能无明显影响。结论对于拇手指不同程度的缺损可以采用不同的方法予以急诊修饰性再造,可以最大程度的恢复手部功能外形。
Objective To discuss methods of decoration reconstruction for finger defect in emergency and to observe the clinical effects. Methods Of the 41 cases of finger injuries of different degrees, 15 were repaired with part of the skin flaps of the big toenalis or skin flaps of the second toenalis, 8 were repaired with part of the skin flaps of the big toenalis, 7 were reconstructed with the second tiptoes, 11 were repaired with the abdominal skin flaps of the big toes or lateral flaps of the second toes. Results All the 41 fingers survived. One skin flap of the big toe was somewhat swelling and a decorating operation was performed. The 4 - 18 months of follow-up visitation of the rest cases revealed good function and shapes. No obvious functional abnorality was found in the donating feet. Conclusion Various kinds of decoration reconstruction for finger defects are available to recover the hand shape and function as much as possible.
出处
《中华显微外科杂志》
CSCD
北大核心
2007年第6期425-426,I0003,共3页
Chinese Journal of Microsurgery
关键词
拇指
手指
缺损
移植
显微外科手术
Thumb
Finger
Defect
Transplant
Microsurgical operation
