皮肤扩张器法治疗手套状皮瓣术后重度虎口挛缩

目的 探讨采用皮肤扩张器治疗手套状皮瓣术后重度虎口挛缩畸形的临床疗效.方法 自2017年2月至2018年10月,四川现代医院手外科采用皮肤扩张器治疗7例手部手套状皮瓣术后导致重度虎口挛缩的患者.一期在皮瓣下埋置50～100 ml的皮肤软组织扩张器1个,术后7～10 d开始注入生理盐水,5～10 ml/次,2次/周,扩张...

Application of skin soft tissue expander in the treament of severe contracture of thumb web after glove-flap repair

Objective To explore the clinical efficacy of skin soft tissue expander in the treatment of severe contracture of thumb web after glove-flap repair.Methods From February 2017 to October 2018,7 patients with severe contracture of thumb web after glove-flap repair underwent the treatment of skin soft tissue expander in the Modern Hospital of Sichuan.A skin soft tissue expander of50 ml to 100 ml was embedded under the flap in one-stage.Normal saline was injected into skin soft tissue expander at 7 to 10 days after operation,5 ml to 10 ml each time and twice a week for 1 to 2 months.The second-stage operation was performed after 2 weeks.The skin soft tissue expander was removed and the wounds in thumb web were repaired by expanded skin.Results The expanded flap survived well in 7 patients after operation.All wounds healed in one-stage.All patients were followed up for 6 to 19 months.The angle of thumb web was 60°to 85°.The blood supply and texture of flap was good.Conclusion Application of skin soft tissue expander in the treatment of severe contracture of thumb web after glove-flap repair was simple.It is a good method to solve skin insufficient of severe thumb web contracture.