腹部皮瓣修复多指全指皮肤脱套伤.doc

腹部皮瓣修复多指全指皮肤脱套伤DOC格式论文,方便您的复制修改删减腹部皮瓣修复多指全指皮肤脱套伤(作者:___________单位:___________邮编:___________)作者:任义军,任高宏,金丹,相大勇,胡稷杰,裴国献【摘要】,目的,对腹部几种皮瓣修复多手指全指脱套伤的治疗进行总结。,方法,2000年以来对非拇指的多指全指脱套伤采用腹部皮瓣45例,其中腹部随意管状皮管修复10例,带蒂胸脐动脉穿支皮瓣15例,带蒂旋髂浅动脉皮瓣12例,腹部皮瓣包埋8例。?期断蒂或腹部皮瓣切取,并进行分指或皮瓣成形手术。,结果,术后皮瓣均成活,3例3指分指术后出现远端皮肤坏死。随访时间5,36个月,患手平均掌指关节主动活动60?,指间关节30?。残存指神经的患指感觉恢复可达S3,其它手指精细感觉恢复差,均可持物。除3例3指远端皮肤坏死再次短缩致外形较差外,其余患手外观均满意。,结论,非拇指的多指全指脱套伤选择性的采用腹部皮瓣治疗,能够最大程度恢复外观及功能,仍是一种实用、安全且简便的手术方法。【关键词】腹部皮瓣;手指;脱套伤,Method,Since2000,45patientswithwhole-fingerdeglovinginjuryofmultiplefingersexceptthethumbweretreatedwithDOC格式论文,,10weretreatedwithrandomabdominaltubedpatternflaps,15withpedicleskinflapswiththoraco-umbilicalperforatorartery,ircumflexartery,-stageoperation,fingersweredissectedwithpedicelsorwithabdominalflapsbeforefingerwebplastyandflapplastywerecarriedoutformanytimes.,Result,-upfrom5to36monthsshowedtheactivemotionofmetacarpophalangealjointsaveraged60?,andinterphalangealarticulationsaveraged30?.SensationrecoveryreachedS3infingerswithremanentpalmardigitalnerve,.,Conclusion,Treatmentofwhole-fingerdeglovinginjuryofmultiplef