腹壁、交臂、邻指皮瓣在手指皮肤软组织缺损治疗中应用对比

The application comparison of abdominal wall,cross arm,cross finger flap in soft tissue defect of finger skin

目的:探讨腹壁、交臂、邻指皮瓣在手指皮肤软组织缺损中的应用。方法:2008-2013年收治手指皮肤软组织缺损患者45例,对其进行腹壁皮瓣、交臂皮瓣、邻指皮瓣移植,对比其治疗效果。结果:45例皮瓣中,均术后3周断蒂。邻指皮瓣因蒂部过紧、牵拉、坏死1例。腹壁皮瓣感染1例,发生脂肪液化1例,创口延迟愈合2例。交臂皮瓣全部存活。结论:3种皮瓣移植各有优缺点,一定要根据患者具体情况进行选择。

Objective:To investigate the abdominal wall,cross arm,adjacent finger flap for skin and soft tissue defect of the finger.Methods:45 patients with finger skin and soft tissue defect were selected from 2008 to 2013.We abdominal wall skin flap,cross arm flap,cross finger flap transplantation to them.Then we compared the treatment effect.Results:45 cases of flap,all of them pedicled off 3 weeks after the surgery.1 cases of cross finger flap necrosis because of the pedicle tight,pull.Abdominal wall skin flap infection in 1 case,the occurrence of fat liquefaction in 1 case,delayed wound healing in 2 cases.Cross arm flap all survived.Conclusion:3 kinds of flap transplantation have its advantages and disadvantages.We must select according to the condition of the patients.