带蒂筋膜皮瓣在甲床缺损中的应用

目的：探讨带蒂筋膜皮瓣在甲床缺损的手外伤患者中的应用。方法：采用回顾性调查方法对2008年5月-2010年4月收住手外科科的甲床缺损合并末节指骨外露病人10例11指，其中拇指2例，示指5例，中指2例，环小指各一例，7例为削割伤所致并指骨缺损，4例为冲压伤所致，同时合并末节指骨骨折，根据甲床缺损的面积采用不同供区带蒂筋膜皮辩进行移植修复。结果：u块皮瓣11块成活，该手术保留了患指长度，为患指获得良好的外形和功能奠定了基础。结论：甲床缺损并指骨外露患者，根据伤情采用带蒂筋膜皮瓣进行移植修复，经临床应用证实是可行的。

Has the peduncle fascia Pi Ban in matrix damage application

Objective：Discusses belt peduncle fascia Pi Ban in the matrix damage hand flesh wound patient＇s application. Method： Uses the review investigation method - 2010 year in April to receive to May, 2008 stops the surgical department branch matrix damage merge ungual phalanx to appear externally the patient 10 example 11 figures, the thumb 2 examples, show refer to 5 exam- pies, the middle finger 2 examples, surround little finger each example, 7 examples to truncate cut the result and the phalanx dam- age, 4 examples to flush crush the result, simultaneously merges the ungual phalanx bone fracture, uses according to the matrix damage＇s area carries on the transplant repair differently for the area belt peduncle fascia skin petal. Results：The superior 19 exam- pies, the good 8 examples, progress 2 examples, the difference 1 example, fine rate 90%. Couclusions：The matrix damage and the phalanx appear externally the patient, uses the belt peduncle fascia skin petal according to the state to carry on the transplant repair, after the clinical practice confirmation is feasible.