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Lingnan Modern Clinics in Surgery ›› 2012, Vol. 12 ›› Issue (02): 130-131.

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Abdominal multiple tubed pattern flaps used for treatment of whole-finger degloving injury of multiple fingers

  

腹部多管状皮瓣修复多指皮肤脱套伤

罗伟,陈顺兴   

  1. 汕尾市第二人民医院
  • 通讯作者: 罗伟

Abstract: [Abstract] Objective To summarize abdominal multiple tubed pattern flaps used for treatment of whole-finger degloving injury of multiple fingers(2 to 3). Methods Since 2006, 11 patients with whole-finger degloving injury of multiple fingers were treated with transfer of random abdominal tubed pattern flaps, abdominal wound were sutured at the first-stage operation and fingers were dissected with pedicels after 5 to 6 weeks. Results All the skin flaps survived. Two fingers of 2 cases had distal cutaneous necrosis after dissecting with pedicels and were scar healing after dressing change finally. Follow-up from 5 to 36 months showed the active motion of metacarpophalangeal articulations averaged 60°?, and interphalangeal joints averaged 15°. All fingers could perform grasping , therefore patients could handle with daily life and were satisfied with the contour of fingers. Conclusion Treatment of whole- finger degloving in jury of multiple fingers(2 to 3) with abdominal multiple tubed pattern flaps can restore the shape and function of hand to the greatest extent and is a practical safe and convenient operative method. [Key word] Abdominal multiple tubed pattern flaps; multiple fingers; degloving injury

Key words: Abdominal multiple tubed pattern flaps, multiple fingers, degloving injury

摘要: 【摘要】 目的 对腹部多皮管修复多手指(2-3)全指脱套伤的治疗方法进行总结。方法2006年以来对2-3指全指脱套伤采用腹部随意管状皮管修复11例,腹部创面一期缝合,5-6周后断蒂。结果 术后皮瓣均成活,2例2指断蒂后出现远端皮肤部分坏死,换药后疤痕愈合。随访时间6~24个月,患手平均掌指关节主动活动60°,指间关节15°。均可持物,可行日常生活。外观自觉满意。结论 腹部多皮管修复多手指(2-3)全指脱套伤能够最大程度恢复外观及功能,是一种实用、安全且简便的手术方法。 【关键词】 腹部多皮管;多手指; 脱套伤

关键词: 腹部多皮管, 多手指, 脱套伤