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指背逆行岛状皮瓣修复指端缺损的治疗体会
引用本文:银春景,王荣春,陈泽群,郭伟峰,陈深源. 指背逆行岛状皮瓣修复指端缺损的治疗体会[J]. 中国医药指南, 2010, 8(1): 27-27,104
作者姓名:银春景  王荣春  陈泽群  郭伟峰  陈深源
作者单位:广东省东莞市常平医院手外科,525575
摘    要:目的探讨Ⅰ期指背逆行岛状皮瓣修复指端缺损的疗效及治疗体会。方法自2000年2月至2009年2月,对46例(52指)手指皮肤缺损的患者,采用指背逆行筋膜岛状皮瓣旋转180°转移修复。结果除2例皮瓣远端部分坏死外,余均成活,经6个月~5年随访,功能及外观良好。按TAM法评定,优36例,良7例,可3例,优良率达93%。结论该术式操作简单、疗程短、成功率高,对手指功能影响小,皮瓣血运良好,指端外形感觉效果好,是理想的修复方法。

关 键 词:指缺损  指背逆行岛状皮瓣  修复

The Experience of Retrograde Island Flap for Dorsal Defects of the Treatment of Fingertip
YIN Chun-jing,WANG Rong-chun,CHEN Ze-qun,GUO Wei-feng,CHEN Shen-yuan. The Experience of Retrograde Island Flap for Dorsal Defects of the Treatment of Fingertip[J]. Guide of China Medicine, 2010, 8(1): 27-27,104
Authors:YIN Chun-jing  WANG Rong-chun  CHEN Ze-qun  GUO Wei-feng  CHEN Shen-yuan
Affiliation:YIN Chun-jing,WANG Rong-chun,CHEN Ze-qun,GUO Wei-feng,CHEN Shen-yuan(Department of H, Surgery,Changping Hospital in Dongguan,Dongguan 523573,China)
Abstract:Objective To explore I phase back to retrograde island flap to repair the defect of fingers and curative effect. Methods From February 2000-February 2009, 46 cases (52) finger skin defect by means of patients, back retrograde fascia island flap transfer rotated 180°. Results Two patients with skin flap necrosis, distal parts were transplanted via more than 6 months of follow-up-5 years, function and appearance. TAM method according to the evaluation of 36 cases, optimal, 7 cases, 3 cases, can reach 93% rate. Conclusion The operation is simple, short course, high rate of fingers, and function of blood, and your fingers flap feeling good appearance, good effect, is the ideal repair methods.
Keywords:Means defect  Refers to the back retrograde island flap  Repair  
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