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上臂带蒂皮瓣修复多个手指创伤性皮肤缺损

Hits: 2119 Download times: 1269 Received:June 21, 1996

作者	Author	单位	Unit	E-Mail
汤雅全	Tang Yaquan	安徽中医学院附属医院,230031	The Affdioted Hospotal of Anhui Chinsse MedicalCollege, Hefei 230031

期刊信息：《中国骨伤》1997年10卷，第6期，第16-17页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

作者报告1983～1994年间,应用上臂带蒂皮瓣一期修复伴有肌健、神经、血管或骨关节裸露的多个手指创伤性皮肤缺损32例(69个手指)。其中男性28例,女性4例。切割伤8例,撕脱伤10例,挫裂伤14例。伤后就诊时间,最短半小时,最长10小时。术后两周断蒂,皮瓣全部成活,手指功能与外形恢复满意。作者认为,在显微外科技术和显微外科解剖学迅速发展和普及的今天,利用上臂带蒂皮瓣一期修复伴有肌腱、神经、血管或骨关节裸露的多个手指创伤性皮肤缺损,仍有一定的临床应用价值。作者还对皮瓣断蒂的最早时限进行了讨论,认为在一定条件下,带蒂皮瓣移植术后两周断蒂是可行的。

[关键词]:带蒂皮瓣多个手指皮肤缺损

The Primary Repair of Traumatic Skin Defect in Multiple Fingers Treated with Pedicle Skin Flaps of Opposite Upper Arm

Abstract:32 cases (69 fingers )of traumatic skin defect in multiple fingers with exposed arteries, nerves, tendons,bones or joints had been treated by using the pedicle skin flaps of the opposite upper arm from 1983 to 1994.Among 32 cases, the incised wound was happened in 8 cases, the avulsed wound in 10 cases, and the lacerated wound in 14 cases;two fingers were wounded in 27 cases and three fingers in 5 cases. All of them were emergent cases and the pedicle skin flaps were all alive. Thus the writer considered that this method may be used in emergent case. The earliet time for cutting the pedicle of skin flap was discussed.

KEYWORDS:Pedicle skin flap Multiple fingers Skin defect

引用本文，请按以下格式著录参考文献：

中文格式:	汤雅全.上臂带蒂皮瓣修复多个手指创伤性皮肤缺损[J].中国骨伤,1997,10(6):16~17
英文格式:	Tang Yaquan.The Primary Repair of Traumatic Skin Defect in Multiple Fingers Treated with Pedicle Skin Flaps of Opposite Upper Arm[J].zhongguo gu shang / China J Orthop Trauma ,1997,10(6):16~17

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