| 腹部随意单蒂三叶皮瓣修复多指末端皮肤缺损 |
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投稿时间：2012-03-01
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| 作者 | Author | 单位 | Address | E-Mail |
| 杜志国 |
DU Zhi-guo |
河北医科大学沧州中西医结合临床医学院手外科,河北 沧州 061000 |
Department of Hand Surgery,Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medicine University,Cangzhou 061000,Hebei,China |
DZG611TS@163.com |
| 宿晓雷 |
XIU Xiao-lei |
河北医科大学沧州中西医结合临床医学院手外科,河北 沧州 061000 |
Department of Hand Surgery,Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medicine University,Cangzhou 061000,Hebei,China |
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| 王伟 |
WANG Wei |
河北医科大学沧州中西医结合临床医学院手外科,河北 沧州 061000 |
Department of Hand Surgery,Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medicine University,Cangzhou 061000,Hebei,China |
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| 赵建勇 |
ZHAO Jian-yong |
河北医科大学沧州中西医结合临床医学院手外科,河北 沧州 061000 |
Department of Hand Surgery,Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medicine University,Cangzhou 061000,Hebei,China |
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| 王华柱 |
WANG Hua-zhu |
河北医科大学沧州中西医结合临床医学院手外科,河北 沧州 061000 |
Department of Hand Surgery,Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medicine University,Cangzhou 061000,Hebei,China |
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| 吴兴 |
WU Xing |
河北医科大学沧州中西医结合临床医学院手外科,河北 沧州 061000 |
Department of Hand Surgery,Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medicine University,Cangzhou 061000,Hebei,China |
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| 王鸿飞 |
WANG Hong-fei |
河北医科大学沧州中西医结合临床医学院手外科,河北 沧州 061000 |
Department of Hand Surgery,Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medicine University,Cangzhou 061000,Hebei,China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第7期，第579-581页 |
| DOI：10.3969/j.issn.1003-0034.2012.07.012 |
| 基金项目: |
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中文摘要:
目的：探讨采用腹部随意单蒂三叶皮瓣修复多指末端皮肤缺损的修复疗效。
方法：自2005年3月至2010年10月,共收治30例90指,男20例60指,女10例30指;年龄15～56岁,平均36岁。同手中节指骨远端以远指体的皮肤脱套伤或横行缺损患者,选用腹部随意单蒂三叶皮瓣进行修复。术后随访观察皮瓣存活情况、皮瓣外形及术后并发症发生情况,并测定皮瓣两点辨别觉恢复情况。
结果：30例患者术后获得随访,平均12.6个月,皮瓣全部存活,皮瓣色泽、质地、外形良好,两点辨别觉5～10 mm,手功能恢复优良。
结论：腹部随意单蒂三叶皮瓣手术方法简单、安全,供区损伤小,修复多指末端皮肤缺损可获得较为满意的疗效。 |
| 【关键词】外科皮瓣 指损伤 软组织损伤 |
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| Abdominal random single pedicled flap of three leaves for the treatment of multiple finger skin defects |
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ABSTRACT
Objective: To discuss the effect of abdominal random single pedicled flap of three leaves for skin defects construction of the ends of several fingers.
Methods:From March 2005 to October 2010,30 patients (90 fingers) with skin defects of the ends of several fingers were treated by abdominal random single pedicled flap of three leaves,including 20 males (60 fingers) and 10 females (30 fingers) with an average age of 36 years old ranging from 15 to 56 years. The degloving injury or transverse defect of distal phalanx were treated with abdominal random single pedicled flap of three leaves. Postoperative survival of skin flap,flap shape,complications were observed,and the static two-point discrimination of flap were determined.
Results:All patients were followed up for 12.6 mouths in average. All the flaps survived. The color,texture and shape of the flaps were good. The static two-point discrimination was 5 to 10 mm. The function of the hands recovered satisfactory.
Conclusion:The method of abdominal random single pedicled flap of three leaves has the advantages of simple,safe and less trauma for the donor site. The effect is satisfatory for skin defects construction of the ends of several fingers. |
| KEY WORDS Surgical flaps Finger injuries Soft tissue injuries |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杜志国,宿晓雷,王伟,赵建勇,王华柱,吴兴,王鸿飞.腹部随意单蒂三叶皮瓣修复多指末端皮肤缺损[J].中国骨伤,2012,25(7):579~581 |
| 英文格式: | DU Zhi-guo,XIU Xiao-lei,WANG Wei,ZHAO Jian-yong,WANG Hua-zhu,WU Xing,WANG Hong-fei.Abdominal random single pedicled flap of three leaves for the treatment of multiple finger skin defects[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(7):579~581 |
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