摘要
目的 探讨真皮下血管网皮瓣原位再植治疗手背皮肤逆行撕脱伤的临床效果。方法 1996年 1月至 2 0 0 1年 6月 ,应用真皮下血管网皮瓣原位再植治疗手背皮肤逆行撕脱伤 5 6例。撕脱皮瓣面积为 7cm× 10cm～ 10cm× 13cm。结果 5 6例移植皮瓣全部成活。术后随访 3个月～ 5年 ,10例失访 ;46例的手背外形满意 ,再植皮瓣恢复了保护性痛觉 ,拇指对掌对指功能正常。 2～ 5指的伸屈活动范围按TAM评定标准评定 ,功能恢复优良者 40例 ,占 87.0 %。结论 将无挫伤或轻度挫伤的手背逆行撕脱皮肤修成真皮下血管网皮瓣原位再植 。
Objective To discuss the treatment outcome of replantation in situ with subdermal vascular network flap for repair of retrograde skin avulsion injury on the dorsum of the hand. Methods Fifty-six cases of subdermal vascular network flaps were performed from 1996 to 2001. The area of the avulsion skin was from 7 cm × 10 cm to 10 cm × 13 cm. Results All flaps survived uneventfully. Forty-six cases were followed up postoperatively for 3 months to 5 years. There was loss of follow-up in 10 cases. Satisfactory appearance was obtained in 46 cases, with restoration of the protective sensation and normal function of opposition of the thumb. According to TAM standard, the results of extension-flexion function from index to small fingers were excellent and good in 40 cases(87.0%). Conclusions Replantation in situ with subcutaneous vascular network flaps is one of effective procedures in management of retrograde skin avulsion injury on the dorsum of the hand when there was no or slight contusion on the skin.
出处
《中华手外科杂志》
CSCD
2002年第4期221-222,共2页
Chinese Journal of Hand Surgery
