邻指分页筋膜皮瓣修复手指末节脱套伤

Adjacent-finger paginated fascial flap for repairing the degloving injury of terminal finger

目的探讨邻指分页筋膜皮瓣修复手指末节脱套伤的临床疗效。方法采用邻指分页筋膜皮瓣修复22例手指末节脱套伤患者。缺损面积1.4 cm×2.8 cm~2.4 cm×4.8 cm,皮瓣设计面积为1.6 cm×1.8 cm~2.6 cm×2.8 cm,分页筋膜皮瓣面积1.6 cm×3.0 cm~2.6 cm×5.0 cm。结果皮瓣均成活,术后3~4周断蒂。患者均获得随访,时间6~32个月。末次随访时,患指皮瓣外形良好,无瘢痕挛缩畸形,皮瓣恢复触觉和浅痛觉;参照中华医学会手外科学会上肢部分功能评定试用标准评价:感觉恢复为S3。结论采用邻指分页筋膜皮瓣修复手指末节脱套伤,血运可靠,方法简单,疗效确切。

Objective To investigate the clinical effect of adjacent-finger paginated fascial flap in repairing the degloving injury of terminal finger.Methods Twenty-two patients with terminal finger degloving injuries were repaired with adjacent-finger paginated fascial flaps.The defected area was 1.4 cm×2.8 cm~2.4 cm×4.8 cm,the deisgned skin area was 1.6 cm×1.8 cm~2.6 cm×2.8 cm,and the adjacent-finger paginated fascial flap area was 1.6 cm×3.0 cm~2.6 cm×5.0 cm.Results All flaps survived successfully,and the pedicles were successfully cut off at 3~4 weeks after the operation.All 22 patients were followed up for 6~32 months.At the last follow-up,the affected finger flap had a good appearance,and no scar,contracture,and deformity were observed,the sensory of touch and shallow pain were recovered;referring to upper limb function evaluation tentative standard formulated by Chinese Medical Association Hand Surgery Society:the sensory recovery was S3.Conclusions The degloving injury of terminal finger is successfully repaired with the adjacent-finger paginated fascia flap.Reliable blood flow and definite effect are achieved by the simple method.