指背皮肤缺损的显微修复

目的 总结单个指背皮肤缺损的修复方法及其临床效果.方法 运用各种皮瓣(6种类型)修复单个皮肤缺损99例.邻指皮瓣10例,邻指翻转筋膜瓣19例、指动脉逆行岛状皮瓣25例,掌背动脉岛状皮瓣23例、UI皮瓣15例,游离足内侧皮瓣7例.结果 3例失败,96例皮瓣成活,成活率97%.手指外形及功能满意.结论 指背皮肤缺损修复方法有多种,可根据各种皮瓣的适应征及优缺点选择最适应的皮瓣修复指背皮肤缺损.

Repair Of Defect Of Dorsal Digital Skin With Tissue Flap

Objective To evaluate the clinical effect of repairing defect of dorsal digital skin with tissue flap. Methods 6 types of tissue flap were transplanted for 99 cases of defect of dorsal digital skin. 10 cases of skin defect were repaired by neighbor digit flap, adjacent digit fascial turn over flap (19 cases), reverse digital artery island flap(25 cases), reverse dorsal metacarpal arteries island flap(23 cases), UI flap(15 cases), free medialis pedis flap(7 cases). Results 99 transplants survived while 3 failed with survival rate of 97%. Satisfactory restoration of digit function was achieved. Conclusions Transplantation of the tissue results in satisfactory repair of the dorsal digit defects . However, there exists incidence of failure and impairment.