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指背筋膜逆行岛状皮瓣修复指腹缺损

THE REPAIR OF DIGITAL PAD DEFECT BY REVERSED ISLAND DORSAL-DIGITAL- FASCIA FLAP

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【作者】 邢志利孙捷谢玲丽吴春王相孙晟君金鑫黄斌

【Author】 Xing Zhili , Sun Jie , Xie Lingli , et al Boai Hospital and Hand Microsurgery Institute of Taizhou City, Zhejiang Province 318050

【机构】 浙江省台州市博爱医院台州市手显微外科研究所浙江省台州市博爱医院台州市手显微外科研究所 (318050)(318050)

【摘要】 为验证应用指背筋膜逆行岛状皮瓣修复指腹缺损的临床疗效,对56例64指(示指23指,中指21指,环指12指,小指8指)指腹缺损患者应用指背筋膜逆行岛状皮瓣修复。结果皮瓣全部成活。获5~30个月,平均8个月随访的43例,修复后的指腹外形良好,耐磨,感觉恢复良好,静止两点辨觉6~8mm,患者指间关节活动度正常。表明在伤情允许的情况下,指背筋膜逆行岛状皮瓣是修复指腹缺损的首选皮瓣,尤其适用于示指、小指损伤者。

【Abstract】 In order to study the therapeutic effect of reversed island dorsal-digital-fascia flap (DDF) on the repair of digital-pad defect (DPD), 56 cases of DPD of 64 fingers (23 index fingers, 12 ring fingers and 8 little fingers) were repaired by DDF. The results showed that all flaps were survived, the follow-up of 43 cases (Mean: 8 months; Range: 5 to 30 months) showed good appearance of the fingers, good sensation recovery, resting two-point discrimination 6 to 8 ㎜ and normal interphalangeal-joint activity, suggesting that under the permission of the injury, DDF is the first-selected flap for DPD, especially for the injury of the index and little fingers.

  • 【文献出处】 中医正骨 ,The Journal of Traditional Chinese Orthopedics and Traumatology , 编辑部邮箱 ,2006年01期
  • 【分类号】R658.2
  • 【被引频次】3
  • 【下载频次】65
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