手指皮肤缺损的修复
皮肤缺损,手指；皮肤缺损；皮瓣；修复,摘要,关键词,Abstract,Keywords,1临床资料,2讨论,参考文献
【摘要】目的 回顾性分析手指皮肤缺损的治疗效果，提出手指皮肤缺损的分类，总结修复经验。
方法 根据手指皮肤缺损的不同位置及面积，选用指动脉逆行岛状皮瓣、指动脉指神经蒂顺行推进皮瓣、第2掌背动脉逆行岛状皮瓣、甲瓣、趾腹皮瓣、桡动脉逆行岛状皮瓣、腹股沟轴形皮瓣、食指背侧岛状皮瓣、邻指皮瓣等19种皮瓣。共计114例129块皮瓣。
结果 125 块皮瓣成活，3块大部成活，1块坏死，成活率99.2%。结论 正确选用不同种类的皮瓣修复不同指别、不同位置及面积的手指皮肤缺损，可以获得良好的外形及功能。
【关键词】 手指；皮肤缺损；皮瓣；修复
Repair for digit skin defects
DING Ren.
Department of Orthopedics,Baoshan Central Hospital,Shanghai 201900,China
【Abstract】
Objective The therapeutic effects on digit skin defects were analyzed retrospectively and treatment methods was designed for the skin defects.
Methods According to location and area of skin defects,all 114 cases with 129 skin defects were treated by reverse digital artery pedicle flaps,free advancing flaps with digital nerve and vessel,toe nail-flap,reverse pedicle flaps with radial artery,axial abdominal flaps,reverse fascial pedicle flaps with radial artery,cross-finger flaps,et al. ......
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