侧方血管链皮瓣瓦合带血管蒂邻指皮瓣修复手指末节脱套伤

Lateral homodigital flap combined with pedicled cross finger flap for repairing degloving injury of fingertip

目的 探讨侧方血管链皮瓣瓦合带血管蒂邻指皮瓣修复手指末节脱套伤的治疗方法.方法 2012年2月至2015年7月,对收治的14例手指末节脱套伤患者,应用侧方血管链皮瓣瓦合带血管蒂邻指皮瓣修复,术后21 d断蒂,进行功能锻炼.结果 本组14例获得3-9个月随访,平均5.5个月,皮瓣全部成活,切口均一期愈合.皮瓣色泽红润,质地柔软,耐磨,未见明显色素沉着,外观满意.手指指间关节经康复锻炼后伸屈正常.7例进行神经缝合后感觉恢复,两点辨距觉达10-13 mm,平均11.5 mm.结论 侧方血管链皮瓣瓦合带血管蒂邻指皮瓣修复手指末节脱套伤,效果满意.

Objective To investigate the therapeutic effect of lateral homodigital flap combined with pedicled cross finger flap for repairing degloving injury of fingertip.Methods From February 2012 to July 2015,14 cases with degloving injury of fingertip were treated with lateral homodigital flap combined with vascular pedicled cross finger flap.21 days after operation,the pedicle was cut off,followed by functional exercise.Results All of the 14 patients were followed up for 3 to 9 months.The texture and appearance of all the flaps were satisfactory.Sense and function of finger recovered well.Two-point discrimination distance ranged from 10 to 13 mm （mean,11.5 mm）.Conclusions Degloving injury of fingertip can be treated by lateral homodigital flap combined with pedicled cross finger flap with satisfactory results.