[1]向滔,田林,张晓星,等.微型游离皮瓣在修复多手指软组织 缺损中的应用效果[J].实用手外科杂志,2019,33(01):0.[doi:10.3969/j.issn.1671-2722.2019.01.019]
　XIANG Tao,TIAN Lin,ZHANG Xiaoxing,et al.Clinical application of microfree skin flap in repairing soft tissue defect of multiple fingers[J].Journal of Practical Hand Surgery,2019,33(01):0.[doi:10.3969/j.issn.1671-2722.2019.01.019]
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微型游离皮瓣在修复多手指软组织 缺损中的应用效果
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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:
Clinical application of microfree skin flap in repairing soft tissue defect of multiple fingers
作者:
向滔1;  田林2;  张晓星2;  刘小胜2;  石峰2
（1.重庆市第四人民医院 骨科， 重庆 201205；2.重庆市长城医院 创伤修复显微外科中心， 重庆 201205）
Author(s):
XIANG Tao;  TIAN Lin;  ZHANG Xiaoxing;  et al (Department of Orthopaedic;  The 4th People's Hospital of Chongqing City;  Chongqing;  201205;  China)
关键词:
关键词： 微型;  游离皮瓣;  软组织缺损;  显微外科修复
DOI:
10.3969/j.issn.1671-2722.2019.01.019
摘要:
摘要: 目的 探讨微型游离皮瓣在修复多手指软组织缺损中的应用效果。方法 2015年6月-2017年6月，对9例26指手指软组织缺损采用多个微型皮瓣修复，其中2指缺损3例，3指缺损4例，4指缺损2例。2指缺损采用双侧趾腓侧皮瓣修复，3指缺损采用双侧趾腓侧皮瓣及单侧足内侧皮瓣修复，4指缺损采用双侧趾腓侧皮瓣及双侧足内侧皮瓣修复，皮瓣切取后供区均直接缝合。结果 术后皮瓣全部成活，未发生血管危象，供区及受区伤口Ⅰ期愈合，平均随访时间18个月（范围3~24个月）。皮瓣质地、弹性良好，无皮瓣臃肿，外观饱满。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21指，良4指，差1指。指端静态两点辨别觉平均7.5 mm(范围6~9 mm)。结论 应用微型游离皮瓣修复多个手指软组织缺损可有效重建患指外形及功能，长期疗效满意，是修复多个手指软组织缺损的理想方法之一。

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更新日期/Last Update: 1900-01-01