摘要
目的 介绍改良V-Y推进皮瓣在手指皮肤软组织缺损中的应用.方法 2008年1月至2013年8月,对30例手指皮肤软组织缺损的患者,采用改良V-Y推进皮瓣进行修复.结果 术后1～3d有3例皮瓣出现轻微肿胀,对症处理后缓解.皮瓣未发生血液循环障碍及感染,全部存活,伤口Ⅰ期愈合.术后随访3～ 18个月,皮瓣质地与受区匹配,具有正常指纹,静止两点分辨觉为5.3 ～ 8.5 mm,平均7.1mm,皮瓣邻近关节屈、伸活动无明显受限.结论 改良V-Y推进皮瓣为指体小创面的修复提供了一种良好的术式.
Objective To introduce the clinical application of modified V-Y advancement flap to repair skin and soft tissue defect of the finger.Methods From January 2008 to August 2013,30 cases of finger skin and soft tissue defects were treated with the modified V-Y advancement flap.Results Swelling of the flaps occurred in 3 cases within 1 to 3 days postoperatively.Conservative treatment alleviated the congestion.All the flaps survived completely without blood supply compromise and infection.All the incisions healed by first intention.Postoperative follow-up length was 3 to 18 months.The texture of the flaps matched the neighboring tissue.The fingerprint appeared to be normal.Two-point discrimination was 5.3 to 8.5 mm,with an average of 7.1 mm.The joints adjacent to the flap had no limitation in flexion and extension.Conclusion Modified V-Y advancement flap provides a good option for repairing small defects in the finger.
出处
《中华手外科杂志》
CSCD
北大核心
2014年第4期289-291,共3页
Chinese Journal of Hand Surgery
基金
湛江市科技攻关计划项目（2013B0109）
关键词
指损伤
外科皮瓣
改良
Finger injuries
Surgical flaps
Modified
