[1]沈佳祚,官世水,林提金,等.拇指桡侧指动脉逆行岛状皮瓣修复拇指软组织缺损[J].实用手外科杂志,2023,37(02):0.[doi:10.3969/j.issn.1671-2722.2023.02.012]
　SHEN Jiazuo,GUAN Shishui,LIN Tijin,et al.Repair of thumb soft tissue defect with a retrograde island flap of the radial digital artery[J].Journal of Practical Hand Surgery,2023,37(02):0.[doi:10.3969/j.issn.1671-2722.2023.02.012]
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拇指桡侧指动脉逆行岛状皮瓣修复拇指软组织缺损
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
37
期数:
2023年02期
页码:
0
栏目:
出版日期:
2023-06-20

文章信息/Info

Title:
Repair of thumb soft tissue defect with a retrograde island flap of the radial digital artery
作者:
沈佳祚;  官世水;  林提金;  林建聪
（福建医科大学附属漳州市医院 骨科， 福建 漳州 363000）
Author(s):
SHEN Jiazuo;  GUAN Shishui;  LIN Tijin;  et al (Department of Orthopedics;  Zhangzhou Hospital Affiliated to Fujian Medical University;  Zhangzhou;  Fujian;  363000;  China)
关键词:
关键词： 拇指;  软组织缺损;  创面修复;  皮瓣
DOI:
10.3969/j.issn.1671-2722.2023.02.012
摘要:
摘 要：目的 探讨拇指桡侧指动脉逆行岛状皮瓣修复拇指软组织缺损的临床疗效。方法 2018年12月-2021年12月，对收治的9例拇指外伤致软组织缺损，术前采用超声多普勒血流探测仪确定拇指桡侧指动脉走行并标记，根据拇指软组织缺损创面特点，个体化设计拇指桡侧指动脉逆行岛状皮瓣修复拇指软组织缺损创面，观察受区创面皮瓣颜色、温度、两点辨别浅感觉、VAS满意度等监测指标。结果 术后随访（6.7±1.2）个月，9例拇指桡侧指动脉逆行岛状皮瓣均成活。创面愈合良好，温度、两点辨别浅感觉、VAS满意度在术后1周、2周、3个月、6个月、12个月进行对比，P ＜0.05差异有统计学意义。皮瓣色泽良好、质地柔软、弹性良好，拇指指间关节屈伸功能恢复正常。结论 拇指桡侧指动脉逆行岛状皮瓣修复拇指软组织缺损操作简单、损伤较小、皮瓣耐磨性能好，可有效修复拇指软组织缺损，临床疗效显著。

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更新日期/Last Update: 2023-06-20