| 桡动脉掌浅支腕横纹皮瓣游离移植修复食中环指相邻两指末节缺损的临床应用 |
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| 引用本文： | 费国芳,石盛生,王金法,费红良. 桡动脉掌浅支腕横纹皮瓣游离移植修复食中环指相邻两指末节缺损的临床应用[J]. 当代医学, 2019, 25(2): 63-66 |
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| 作者姓名： | 费国芳 石盛生 王金法 费红良 |
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| 作者单位： | 浙江省湖州市南浔区人民医院骨科,浙江 湖州,313009;浙江省湖州市南浔区人民医院骨科,浙江 湖州,313009;浙江省湖州市南浔区人民医院骨科,浙江 湖州,313009;浙江省湖州市南浔区人民医院骨科,浙江 湖州,313009 |
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| 基金项目： | 浙江省湖州市科技局公益性技术应用研究 |
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| 摘 要： | 目的研究应用桡动脉掌浅支腕横纹皮瓣游离移植修复食中环指相邻两指末节缺损的疗效。方法 2015年10月至2017年12月两年间应用桡动脉掌浅支腕横纹皮瓣游离移植修复食中环指相邻两指末节缺损共14例,男9例,女5例。年龄19～50岁,相邻两指末节组织缺损范围约1.0 cm×1.0 cm～1.0 cm×1.5 cm,均有不同程度骨外露伴有部分甲床缺损,肌腱未外露,切取桡动脉掌浅支腕横纹皮瓣,皮瓣面积约1.5 cm×2.0 cm～1.5 cm×3.0 cm,供区直接缝合,吻合手指固有动脉及指背静脉,术后4周再次进行分指并予修复皮瓣外观。结果本组14例皮瓣均完全成活,所有病例均获得随访,随访时间12～20个月,平均随访时间(16±4)个月,手指外观满意,活动度良好,供区无瘢痕挛缩,腕关节活动无影响。临床疗效评定分级,优12例(85.7%),良2例(14.3%)。结论桡动脉掌浅支腕横纹皮瓣游离修复食中环指相邻两指末节缺损具有供区隐蔽,损伤小,皮瓣外观满意,质地软,同时修复两手指末节损伤等优势。
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| 关 键 词： | 桡动脉掌浅支 腕横纹皮瓣 游离移植 相邻末节缺损 |
The clinical application of the free transplantation of the radial artery superficial branch carpal transverse striated skin flap for the repair of two adjacent finger terminal defects in the middle ring finger |
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| Fei GuoFang,Shi ShengSheng,Wang JinFa,Fei HongLiang. The clinical application of the free transplantation of the radial artery superficial branch carpal transverse striated skin flap for the repair of two adjacent finger terminal defects in the middle ring finger[J]. Contemporary Medicine, 2019, 25(2): 63-66 |
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| Authors: | Fei GuoFang Shi ShengSheng Wang JinFa Fei HongLiang |
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| Affiliation: | (The Depantment of Orthopedics,People' s Hospital of Nanxun District,Huzhou City,ZheJiang Province,Huzhou,Zhejiang,313009,China) |
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| Abstract: | Fei GuoFang;Shi ShengSheng;Wang JinFa;Fei HongLiang(The Depantment of Orthopedics,People' s Hospital of Nanxun District,Huzhou City,ZheJiang Province,Huzhou,Zhejiang,313009,China) |
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| Keywords: | Superficial palmar branch of radial artery Transverse brachial skin flap Free transplantation Adjacent terminal defect |
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