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指端缺损的急诊岛状皮瓣修复 被引量:28

Emergency repair of finger soft tissue loss with island flaps
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摘要 目的介绍8种指岛状皮瓣对指端缺损创面的修复,并探讨其相关手术适应证。方法应用指神经血管束VY岛状推进皮瓣、拇指尺背侧动脉逆行皮瓣、指动脉背侧支逆行皮瓣、改良Moberg皮瓣、指动脉逆行皮瓣、Hueston皮瓣、指筋膜脂肪翻转瓣、指总神经血管束蒂双翼皮瓣等8种皮瓣修复79例82指指端缺损。结果手指外形和功能均取得了令人满意的结果。结论这些指岛状皮瓣适宜指端缺损的修复。 Objective\ To introduce the applications of a series of digital island flaps to the repair of finger and/or fingertip defects and explore the indications. Methods\ A total of 79 cases(82 digits)were treated with different flaps,including ①the digital neurovascular pedicled V\|Y advancement flap;②the reversed dorsoulnar arterial flap of the thumb;③the reversed digital arterial dorsal branch flap;④the modified Moberg flap;⑤the reversed digital arterial flap;⑥the Hueston flap;⑦the homodigital adiposfascial turnover flap and ⑧the twin neurovascular island flaps. Results\ Satisfactory results were obtained in digital appearance and function. Conclusions\ These homodigital island flaps were particularly helpful for repair of finger and/or fingertip defects.
作者 胡鸿泰
出处 《中华整形外科杂志》 CAS CSCD 北大核心 2004年第6期431-433,共3页 Chinese Journal of Plastic Surgery
关键词 指端缺损 岛状皮瓣 逆行皮瓣 修复 指动脉 神经血管束 急诊 膜脂 外形 手指 Fingertip injury Tissue loss Island flaps
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参考文献6

  • 1Brunelli F, Vigasio A, Valenti P, et al. Arterial anatomy and clinical application of the dorsoulnar flap of the thumb. J Hand Surg, 1999,24:803-811.
  • 2Philippe P, Vincent C, Jiseph B, et al. Reverse dorsal digital and metarcarpal flaps: a review of 27 cases. Plast Reconstr Surg, 1999,103: 159-165.
  • 3Lai CS, Lin SD, Yang CC. The reverse digital artery flap for fingertip reconstruction. Ann Plast Surg, 1989,22:495-497.
  • 4Hueston J. Local flap repair in fingertip injuries. Plast Reconstr Surg,1966,37: 349-350.
  • 5Chen H, Noordhoff S. Coverage of the degloved thumb with twin neurovascular island flaps: a case report. J Plast Surg, 1986,39:255-256.
  • 6Moberg E. Aspects of sensation in reconstructive surgery of the upper extremity. J Bone Joint Surg, 1964,46:817-819.

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