组合组织移植在修复手毁损伤中的应用

Application of combined tissue transplant in repair of damage injury in the hands

目的 介绍应用组合组织移植修复手毁损伤及重建手部分功能的疗效。方法 对 5例手毁损伤患者 ,应用带足背皮瓣的第二足趾、第二、三足趾 ,及股前外侧皮瓣、腹直肌皮瓣等组织瓣 ,组合移植修复手部大面积创面及重建拇手指。结果 所有移植组织均成活 ,重建后的手功能平均值比术前平均增加 40 %。结论 组合组织移植具有一期修复手部创面并同时重建手功能的优点 ,是治疗手毁损伤的较好方法。

Objective To introduce treatment outcome of combined tissue transplant for repair of damage injuries and function reconstruction in the hands. Methods 5 cases of hand damage injury was involved. Free second toe or second and third toe with foot dorsal flap, femoral anterolateral flap, abdominal rectus muscle flap were combined to repair major area wound in hands and reconstruction of thumb and other fingers. Results All the transplants are survival. The hand functions after reconstruction increased 40 % in average in comparison with preoperative one. Conclusions Combined tissues transplant has the advantages of both primary repair of wounds in hands and reconstruction of hand function. It is a better procedure for treatment of damage injury in hands.