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论文范文题目:腹部皮瓣修复多指全指皮肤脱套伤编辑:司马小作者: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-,10weretreatedwithrandomabdominaltubedpatternflaps,15withpedicleskinflapswiththoraco-umbilicalperforatorartery,ircumflexartery,-stageoperation,fingersweredissectedwithpedicelsorwithabdominalflapsbeforefingerwebplastyandflapplastywerecarriedoutformanytimes.,Result,-upfrom5to36monthsshowedtheactivemotionofmetacarpophalangealjointsaveraged60?,andinterphalangealarticulationsaveraged30?.SensationrecoveryreachedS3infingerswithremanentpalmardigitalnerve,.,Conclusion,Treatmentofwhole-fingerdeglovinginjuryofmultiplefingersexceptthethumbwithsuitableabdominalflapscanrestoretheshapeand