| 掌远端微型穿支皮瓣在指蹼挛缩修复中的应用 |
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| 引用本文： | 周晓,许亚军,芮永军,寿奎水,姚群. 掌远端微型穿支皮瓣在指蹼挛缩修复中的应用[J]. 中国修复重建外科杂志, 2011, 0(2): 206-208 |
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| 作者姓名： | 周晓 许亚军 芮永军 寿奎水 姚群 |
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| 作者单位： | 无锡市手外科医院手外科; |
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| 摘 要： | 目的总结掌远端微型穿支皮瓣修复指蹼挛缩的方法及疗效。方法 2008年8月-2010年3月,收治6例指蹼挛缩患者。男4例,女2例;年龄16～68岁,平均45岁。致伤原因:深Ⅱ度烧伤2例,机器绞伤2例,压砸伤2例。瘢痕挛缩病程3个月～3年。瘢痕挛缩指蹼:示中指2例,中环指3例,环小指1例。指蹼最大外展度5～10°。指蹼斜坡和蹼沟消失。术中首先行挛缩指蹼开大,开大后指蹼缺损范围为20 mm×8 mm～30 mm×13 mm;然后采用大小为25 mm×10 mm～35 mm×15 mm的掌远端微型穿支皮瓣移位修复缺损;供区直接缝合。结果术后皮瓣完全成活,创面Ⅰ期愈合;供区切口Ⅰ期愈合。患者均获随访,随访时间6～12个月。重建指蹼外形良好,质地柔软,有接近正常指蹼的指蹼斜坡和蹼沟。指蹼最大外展度达40～60°。手掌切口无瘢痕挛缩,掌指关节活动正常。结论掌远端微型穿支皮瓣具有不损伤主干动脉的优点,是修复指蹼挛缩的理想方法之一。
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| 关 键 词： | 掌远端穿支皮瓣 指蹼挛缩 修复 |
APPLICATION OF DISTAL PALM PERFORATOR MINI-FLAP IN REPAIR OF SCAR CONTRACTURE OF DIGITAL WEB-SPACES |
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| ZHOU Xiao,XU Yajun,RUI Yongjun,SHOU Kuishui,YAO Qun. APPLICATION OF DISTAL PALM PERFORATOR MINI-FLAP IN REPAIR OF SCAR CONTRACTURE OF DIGITAL WEB-SPACES[J]. Chinese journal of reparative and reconstructive surgery, 2011, 0(2): 206-208 |
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| Authors: | ZHOU Xiao XU Yajun RUI Yongjun SHOU Kuishui YAO Qun |
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| Affiliation: | ZHOU Xiao,XU Yajun,RUI Yongjun,SHOU Kuishui,YAO Qun.Department of Hand Surgery,Wuxi Hand Surgery Hospital,Wuxi Jiangsu,214062,P.R.China. |
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| Abstract: | Objective To discuss the effectiveness of distal palm perforator mini-flap in the treatment of scar contracture of digital web-spaces.Methods Between August 2008 and March 2010,6 cases of scar contracture of digital web-spaces were treated,including 4 males and 2 females and aging 16-68 years(mean,45 years).The causes were burn injury,twisting injury,and crush injury in 2 cases,respectively.The disease duration was from 3 months to 3 years.The affected digital web-spaces were from index finger to middle fin... |
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| Keywords: | Distal palm perforator flap Digital web-space scar contracture Repair |
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