掌远端微型穿支皮瓣修复指蹼挛缩临床研究

目的探讨掌远端微型穿支皮瓣修复指蹼挛缩的临床效果.方法分析2008年6月-2011年8月我院收治的8例指蹼挛缩患者,患者术中予以挛缩的指蹼处开大,然后采用掌远端微型穿支皮瓣移位修复缺损.术后随访6-12个月,观察恢复情况.结果术后7例患者皮瓣成活良好,创面Ⅰ期愈合,供区切口Ⅰ期愈合;1例患者创面愈合不好,予2期植皮修复,创面愈合.总有效率87.5%;经随访,所有患者指蹼重建后的外形尚可,质地较软,指蹼活动可.手掌切口没有出现挛缩的瘢痕,近端关节活动灵活.结论临床观察应用掌远端微型穿支皮瓣临床效果好,对主干动脉损伤小,值得临床推广应用.

Clinical research of palm micro perforator flap in repair of scar webbed contracture

Objective To research of effectiveness of palm micro perforator flap in repair of scar webbed contracture. Methods Analysis of 8 cases in our hospital from June 2008 to August 2011 the patients were treated, all patients give palm micro perforator flap in repair of scar webbed contracture. Patients were followed up for 6-12 months to observe the recovery situation. Results 7 flaps survived and got well healing. Total efficiency is 87.5%. All patients were followed up 6-12 months. The scar webbed contracture had well appearance and soft texture. There was no scar contracture of incision of palm. The palm and contracture scar have flexible proximal. Conclusion It is a better method to fix the finger web contracture, worthy of clinical application.