“V”形皮瓣推移成形术治疗手指末节离断伤

目的 探讨手指末节离断缺损并骨外露的治疗方法。方法采用指腹皮瓣推移成形术治疗手指末节离断缺损并骨外露84例。结果手指末节离断缺损并骨外露84例，男50例，女34例。年龄14个月～46岁；其中钝器切割伤26例，机器碾压伤48例，门夹伤5例，狗咬伤5例。受伤时间0．5～13h。指腹皮瓣推移后全部成活，外观美观，皮肤感觉良好，皮瓣推移成形修复指端缺损及骨外露，取得良好效果，末节缺损后对手的功能基本无影响。结论采用皮瓣推移成形术，能一步到位，术后患肢愈合良好，外观功能无差异，不会再缩短患肢，不需二期手术，也可以在门诊手术治疗，不须住院，手术创伤小，出血量少，术后恢复快，且方法简单易行，对技术及设备均没有严格的要求，是治疗手指末节离断伤的一种简单及有效的手术方法。

Skin flap advanced plasty for the isolated distal segment finger

Objective To try find out the treatment method of the isolated distal segment finger. Methods 84 cases with the isolated distal segment finger were treated by skin flap advanced plasty. Results There were 50 cases in men and 34 cases in female. The age was from 14 month to 46 year old. 26 cases were injuried by blunt cutting ,48 cases by inventory mangled injury ,5case by door clip and 5 case by dog bitting. The injuried time was 0.5 to 13 hours. Advanced skin flap in all cases were alive. The appearance of all injuried fingers were good and the function was one of effective and simple methods for the isolated distal segment finger. Conclusion Adopt piece of the skill developing skin, can achieve a goal in one leap, skill future trouble limb coalescence is fine, the outward appearance function has no difference, be unable to shorten the trouble limb again,have no need of two phasese of operation, also not bad in outpatient service operation treat, do not have to be in hospital. The operation wound is small, bleeding amounts are few, the skill queenrecovers quickly, method is easy to do and simplely, does not have the strict request. Skin is that the minor details curing a finger is one kind simple and effective operation method away from cutting off a wound's piece of the skill developing to take shape.