微型组织瓣在手外科修复中的应用

Apply of minute tissue flap in band surgery

目的回顾性研究应用微型组织瓣修复手部组织缺损的治疗效果。方法临床应用１０种微型组织瓣移位或移植修复手部皮肤、骨、关节缺损１０２例。结果随访１～１８年，皮瓣全部存活、外形良好，手指屈伸功能尚可，痛、温、触觉恢复；骨愈合时间３～４个月，关节功能满意。结论应用显微外科技术修复手部皮肤缺损，疗程短、疗效好。凡手指、虎口处皮肤缺损合并骨、关节、肌腱外露者，应争取一期应用微型皮瓣修复；腕舟骨骨折不连接、月骨坏死及掌骨头缺损可选用不同术式的带血供微型骨瓣修复。

Objective To study retrospectively the results of minute tissue flap for repairing tissue defect of hand. Methods The transposition or transplantation of ten kinds of tissue flaps were applied to repair skin or bone or joint defect of hand in 102 cases. Results The period of follow-up was one to eighteen years. All skin flaps were live and appearance is excellent. The function of hand is good. The period of bone healing was three to four months and joint motion is satisfactory' Conclusions Microsurgical repair of skin defects of hand have shorter period and good results' Skin defect with naked bone and joint or tendon in hand should apply minute skin flap to repair in onestage. Various vascularized minute bone flaps may be choiced to repair non-union of scaphoideum or lunatum necrosis and metacarpal head defect.