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小儿同足趾顺行趾动脉神经蒂皮瓣的临床应用
引用本文:薛俊红,范华波,陈惠敏,张艳敏,李浩,杜相殊,秦莉.小儿同足趾顺行趾动脉神经蒂皮瓣的临床应用[J].临床小儿外科杂志,2014(3):217-218,222.
作者姓名:薛俊红  范华波  陈惠敏  张艳敏  李浩  杜相殊  秦莉
作者单位:[1]邯郸市中心医院手外科,河北省邯郸市056001 [2]邯郸钢铁有限责任公司职工医院骨科,河北省邯郸市056001 [3]邯郸中煤岭北医院,河北省邯郸市056001 [4]邯郸市第一医院,河北省邯郸市056001
摘    要:目的报道小儿同趾顺行趾动脉神经蒂皮瓣的临床应用。方法2008年1月至2013年6月我们对8例拇趾端(腹)缺损的患者应用同足趾顺行趾动脉神经蒂皮瓣进行修复。其中趾端缺损3例,趾腹缺损5例,皮肤缺损面积在1.0cm×1.5cm~1.2cm×1.8cm。年龄为3~12岁,平均年龄5岁。结果皮瓣全部成活,无动、静脉危象发生。经1个月至半年随访,皮瓣外形饱满,色泽、供受区仅有线样瘢痕,趾端感觉正常,无不耐寒及趾端疼痛病例,患儿步态正常。结论同趾顺行趾动脉神经蒂皮瓣是修复小儿拇趾趾端(腹)缺损的良好方法。

关 键 词:  外科皮瓣  修复外科手术  儿童

The clinical application of pediatric toe with toe antegrade arterial nerve pedicle flap
Institution:XUE Jun-hong, FAN Hua-bo, CHEN Hui-min, et al
Abstract:Objetive To report the clinical application of pediatric toe with toe antegrade arterial nerve pedicle flap. Methods January 2008--2013 June 8 cases of patients with toe-side (belly) application to repair the same defect toe toe antegrade arterial nerve pedicle flap flap. Defects in three cases in which the toe ,toe abdominal defect five cases,the area of skin defect size 1.0 cm × 1.5 cm - 1.2 cm ×1.8 cm. Age 3 - 12 years ( mean age 5 years old). Results All flaps survived,no vein crisis occurred. After January-six months of fol- low-up,full flap shape,color,line-like scar just for the subject area,toe feels normal,all cold and sore toe cases,children with normal gait. Conclusion Toe with toe antegrade arterial nerve pedicle flap is a good method to repair pediatric toe toe (abdomen) defect.
Keywords:Toes  Surgical Flaps  Reconstructive Surgical Procedures  Child
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