[1]王才波,金德镐,李波,等.局部旋转皮瓣在手指掌侧跨关节皮肤 软组织缺损中的应用[J].实用手外科杂志,2019,33(01):0.[doi:10.3969/j.issn.1671-2722.2019.01.016]
 WANG Caibo,JIN Dehao,LI Bo,et al.Application of local rotation flap in skin and soft tissue defects of metacarpophalangeal palmar transarticular area[J].Journal of Practical Hand Surgery,2019,33(01):0.[doi:10.3969/j.issn.1671-2722.2019.01.016]
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局部旋转皮瓣在手指掌侧跨关节皮肤 软组织缺损中的应用
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
33
期数:
2019年01期
页码:
0
栏目:
出版日期:
2019-03-26

文章信息/Info

Title:
Application of local rotation flap in skin and soft tissue defects of metacarpophalangeal palmar transarticular area
作者:
王才波 金德镐 李波 胡佳俊 袁一林
(南通中山骨科医院 手外科, 江苏 南通 266000)
Author(s):
WANG Caibo JIN Dehao LI Bo et al (Department of Hand Surgery Zhongshan Orthopaedic Hospital of Nantong City Nantong Jiangsu 266000 China)
关键词:
关键词: 指损伤 外科皮瓣 植皮
DOI:
10.3969/j.issn.1671-2722.2019.01.016
摘要:
摘要: 目的 介绍局部旋转皮瓣联合植皮术在手指掌侧跨关节皮肤软组织缺损中的应用效果。方法 2015年5月-2017年10月,对10例手指掌侧跨越近指关节皮肤软组织缺损的患者,采用在创面两侧分别设计局部皮瓣,长宽比例控制在2∶1,将皮瓣对角旋转分解创面后植皮,术后观察创面愈合及手指的外形和功能恢复情况。结果 10例创面均Ⅰ期愈合,术后随访6~12个月,皮瓣质地与受区匹配,外观具有手指近指横纹,外形满意,植皮区无明显的色素沉着及挛缩,手指指间关节伸屈活动无明显受限。根据中华医学会手外科学会上肢部分功能评定试用标准评定:优8例,良2例。结论 局部旋转皮瓣联合植皮术修复手指掌侧跨关节皮肤软组织缺损时,利用皮瓣再造手指的近指横纹,同时可减少因皮片挛缩而导致的掌侧皮肤张力,患指伸屈活动无紧绷感,提高了创面修复后的患指外观及患者满意度,为临床提供了一种安全、实用、简单的术式。

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更新日期/Last Update: 1900-01-01