摘要
目的研究手外伤组织缺损患者行皮瓣移植修复治疗的临床效果。方法 2012年8月～2013年8月淮南新华医疗集团新华医院骨科共收治58例手外伤组织缺损患者,均行皮瓣移植修复治疗。结果 1皮瓣组织来源：腹部带蒂皮瓣16例,占27.6%、中指尺侧及环指桡侧岛状皮瓣12例,占20.7%、锁骨下带蒂皮瓣9例,占15.5%、V-Y皮瓣7例,占12.1%、手掌背动脉逆行岛状皮瓣6例,占10.3%、食指近节背侧岛状皮瓣5例,占8.6%、足背复合组织游离皮瓣3例,占5.2%;2修复效果及术后随访结果：58例手外伤组织缺损患者中57例皮瓣全部成活,均属于创面Ⅰ期愈合,1例出现皮瓣小面积坏死,行换药处理后愈合;3术后随访（7.45±1.13）个月,行手部皮瓣后期功能评估,优49例（84.5%）,良7例（12.1%）,差2例（3.4%）。结论皮瓣移植修复治疗手外伤组织缺损效果较好。
Objective To study the clinical effect of the flap transplantation for the traumatic hand tissue defects. Methods During August 2012 to August 2013, 58 patients with traumatic hand tissue defects were treated in our hospital. Different flaps were used according to the actual situation. Results①The sources of flap were as follows ： abdominal pedic[e flaps of 16 cases（27.6% ） , island flaps from the ulnar side of middle fin- ger and the radial side of the ring finger of 12 cases（20.7% ）, infraclavicula pedicle flaps of 9 cases （ 15.5% ）, V-Y flaps of 7cases（ 12.1% ） , the palm dorsal artery retrograde island flaps of 6 cases （ 10.3% ） , dorsal is- land flaps of the close quarter of the index finger of 5 cases （ 8.6% ） , and free flaps of dorsalis pedis composite tissue of 3 cases （ 5.2% ）. ② After the postoperative follow-up, 57 cases achieved the transplanted tissues sur- vived. ③ During （ 7. 45 ± 1. 13） months follow-up, there were 49 cases （84.5%） had excellent recovery effect, 7 cases （ 12.1% ） appeared good, and 2 cases （ 3.4% ） was worse. Conclusion It can achieve good clinical results for the traumatic hand tissue defect by using different flaps according to the actual situation.
出处
《中国现代手术学杂志》
2014年第6期440-442,共3页
Chinese Journal of Modern Operative Surgery
关键词
外科皮瓣
手损伤
surgical flaps
hand injuries
