摘要
目的:探讨拇甲瓣供区创面修复的方法。方法:回顾性分析2007年8月~2012年3月收治的45例游离拇甲瓣再造拇(手)指患者。根据供足创面不同的修复方法分三组:A组21例,适当咬除趾骨,直接缝合供区;B组16例,第1跖背动脉皮瓣修复;C组8例,采用跗外侧动脉皮瓣修复。结果:45例患者均获得随访,随访时间6~24个月,平均11个月。A组2例因缝合张力大,远端创缘部分皮肤坏死;B组、C组皮瓣全部成活。5例患者对外形不太满意,其余患者对外形及功能均较满意。结论:根据拇甲瓣供区创面大小及患者个性化要求,选择适合方法修复,能达到较好的临床效果。
Objective To explore method of donor repair of the great toe-nail flap. Methods Methods a retrospective analysis of 2007 August to 2012 March,45 cases of free great toe-nail flap for reconstruction of the thumb (finger) patients. According to the donor foot wounds of different reconstructive methods are divided into three groups:21 cases in group A, the appropriate bit in addition to the phalanx, direct suture for the district;16 cases in group B, first dorsal metatarsal artery flap to repair;8 cases in C group, the lateral tarsal artery flap. Results 45 cases were followed up, follow-up time of 6 months to 24 months, mean 11 months. 2 cases in A group because of suture tension, the distal end of a margin of partial skin necrosis; group B, group C all flaps survived. In 5 patients the appearance were less satisfied with the appearance and function, the remaining patients were satisfied. Conclusion According to the great toe-nail flap donor site wound size and patient individual requirements, to choose a suitable method of repair, can achieve good clinical effect.
出处
《中国美容医学》
CAS
2012年第11期1903-1905,共3页
Chinese Journal of Aesthetic Medicine
关键词
拇甲瓣
移植
再造
外科皮瓣
great toe-nail flap
transplantation
reconstruction
surgical flaps