【摘要】 目的为多指脱套伤一期修复提供新的方法。方法１９９３年１月～１９９６年６月，设计共蒂髂腹股沟下腹部真皮下血管网皮瓣，形成多叶皮瓣修复多指皮肤套状撕脱伤５例。结果术后１２～１６天断蒂，皮瓣全部成活。随访６～１８个月，手指外形正常，皮肤颜色协调，指间关节活动和皮肤感觉恢复满意。结论共蒂髂腹股沟下腹部真皮下血管网皮瓣具有疗程短、手指外形美观和功能恢复满意等优点，适用于一期修复多指脱套伤。更多还原

【Abstract】 Objective In order to solve the difficult problem of one stage repair of degloving injury of multiple fingers, the common pedicled ilio inguinal hypogastric subdermal vascular network skin flap was designed and the multi lobes skin flap was performed subsequently. Methods From 1993 to 1996, there were 5 cases with degloving injuries of multiple fingers were treated by this flap. There were 2 males and 3 females and the age ranged from 7 to 19 years old. Results After operation, the pedicles of the flap was detached between 12 to 16 days and all of the flaps survived completely. Patients were followed up for 6～18 months. After repair, the contour and skin colour of the digits were excellent, and the motion of the interphalangeal joints and skin sensation were good. Conclusion The conclusion was as follows: The newly designed skin flap was characterized by the advantages of duration of treatment being short, excellent contour and more rapid recovery of function. It could be used for one stage repair of degloving injury of multiple fingers.更多还原