疑难病杂志Issue(1)：65-66,69,3.DOI:10.3969/j.issn.1671-6450.2014.01.023
指背筋膜蒂皮瓣在手指皮肤缺损修复中的应用
The clinical efficacy of finger soft tissue defect reparation with fasciocutaneous flap of dorsal branch of digital arteary
杨杰 1于晓洁 1王鹏 1王建成 1曹文宏 1许会敏1
作者信息
摘要
Abstract
Objective To explore the clinical efficacy of dorsal fasciocutaneous flap in reparation of finger skin de -fect.Methods From October 2011 to February 2013, admitted finger skin and soft tissue defects were 33 cases (37 fingers), 19 males (22 fingers) and 14 females (15 fingers);injury to admission time 1 h-15 d;pulp skin defects in 17 fingers ,the nail bed defect in 9 fingers, middle section of palmar skin defects in 6 fingers, middle and distal section of the palmar skin de-fects in 5 fingers;flaps cut area 0.8 cm ×1.0 cm-1.9 cm ×2.7 cm.Application size is 1.0 cm ×1.2 cm-2.1 cm × 2.9 cm of the dorsal fasciocutaneous flap wounds , donor skin graft repair .According risk fingers to the defect shape , size and design of the dorsal flap , free flap from the finger proximal , distal design for the “teardrop” shape .Loose flap and suture sub-ject area, place the drainage sheet for proximal dorsal area with full thickness skin graft repair .Postoperative inflammatory an-ti-spasmodic and other conventional treatment .Results Five cases of distal flap tension blisters appear after operation , healed after changing dressing;other flaps and skin graft donor sites were successfully survived , the wounds acquired grade I healing . 30 cases (34 fingers) were followed up for 6 to 25 months, median 16.8 months.Flap soft, plump appearance.6 months af-ter operation flap point discrimination was 6-9 mm, median 7.7 mm.Hand function by finger total active activity score were assessed up to 105 °-230 °, median was 204 .6 °.Conclusion Dorsal fasciocutaneous flap repair the skin defect finger trau-ma is a simple operation , which can be performed with early exercise;flap thickness were thinner with good texture , flap re-store the feeling , which is a good approach for finger skin defect repairing .关键词
手指软组织缺损/指背筋膜蒂皮瓣/创面修复Key words
Finger soft tissue defect/Dorsal fasciocutaneous flap/Wound repair引用本文复制引用
杨杰,于晓洁,王鹏,王建成,曹文宏,许会敏..指背筋膜蒂皮瓣在手指皮肤缺损修复中的应用[J].疑难病杂志,2014,(1):65-66,69,3.
