短蒂腹部交叉皮瓣修复手部创面临床应用.doc

短蒂腹部交叉皮瓣修复手部创面临床应用.doc:..短蒂腹部交叉皮瓣修复手部创面临床应用[摘要]目的:探讨短蒂腹部皮瓣修复手部创面的广泛适用性及改进方法。方法:通过改进皮瓣设计及闭蒂方式、采用短蒂腹部皮瓣修复手部创面25例32处,手指19例(其中同侧双指3例、三指2例)、手背6例。皮肤缺损范围:、最大12cmX16cm。皮瓣范围:、最大13cmX18cmo结果:所有皮瓣蒂部均一期闭合、术后一周蒂部干洁、皮瓣成活良好、质地外观佳,手功能恢复良好。结论:腹部皮瓣修复手部创面大多无需设计皮管,改进皮瓣设计及闭蒂方式的短蒂腹部皮瓣即可达到封闭创面、减少渗出及感染机会,同时提高皮瓣利用率、减少副损伤、避免皮管臃肿、积血影响血供、促进血循环及感觉重建、可早期断蒂、利于功能恢复、外形更薄。[关键词]蒂部;腹部皮瓣;手部创面;设计改进;临床应用[中图分类号JR622[文献标识码]A[文章编号]1008-6455(2013)01-0118-02ClinicalApplicationoftheAbdominalFlapwithShortPedicelfortheWoundofHandTIANHeng,LIUHong-jun,GUJia-xiang,ZHANGNai-chen,PANJun-bo,ZHANGWen-zhong(NorthernJiangsuPeople,sHospitalAffiliatedtoYangzhouUniversity,Handsurgery,Yangzhou225001,Jiangsu,China)Abstract:,whichimprovedintheflapdesignandmethodsofpedicelclosure,ofwhom19caseswiththeskindefectofthefingers(3casesofwhomwithdoublefingersdefectinthesamehand,and2casesofwhomwiththreefingers),other6cases?woundonthebackofthehand・;,pedicelwereclosedinoperationanddryinaweekafteroperation,pletesurvivalsthetextureandappearanceweresatisfying,