摘要
目的：手指严重屈曲挛缩畸形是小儿手烧伤常见后遗症，研究手指背皮瓣修复小儿严重手指屈曲挛缩畸形．方法：切除和松解指掌侧瘢痕，以一侧指背动脉为轴，在同一手指近、中节指背设计皮瓣，远端同达远侧指间关节，宽度可达手指侧中线，由皮瓣远端自伸指肌腱腱膜浅层剥离，形成一小旗状或网球拍状皮瓣，旋转45～90度覆盖指掌侧创面．结果：应用该方法共修复28例59个患指，除3个皮瓣；因指背为萎缩性瘢痕部分坏死外．56个皮瓣全部成活．结论：该皮瓣血运可靠，切取面积大，外形满意，远期效果较稳定．
Aim: Serious digital flexion contracture frequent-ly occur in children and greatly reduce hand function. Herewe show 28 cases treated with digital dorsum flap. Meth-ods: After excising and relaxing digital palmar scar. We de-signed an axial digital dorsum flap based on corsal vascularbundle. The remote extremity of the flap reached distalis in-terphalangeal joint and the extent reached contralateral mid-line. From the superficial layer of aponeuresis of extensordigitorum. The flap was lifted and revolved 45 to 90 degreeto cover palmar wound. Results: Using this method, wetreated 28 patients with 59 suffering fingers. Among 59fiaps, 56 flaps covered wound completely. Partial necrosisappearred in 3 flaps because of atrophie scar on digital dorsum. Conclusion: The blood supply of the flap is reliable,and the flap area is large enough. After repairing, the ap-pearance of the suffering fingers is satisfactory and its long-term effect is stable.
出处
《第四军医大学学报》
1998年第5期523-525,共3页
Journal of the Fourth Military Medical University
关键词
烧伤
手指屈曲
修复
皮瓣
挛缩
burn digital flexion contracture repair flap
