摘要
目的：探讨上肢微型游离皮瓣对修复各种外伤所致手指创面的手术方法以及近期疗效.方法：纳入我院2013年1月-2014年11月手外伤科收治的手部创面的患者50例,纳入的患者具有手部不规则的创面,创面的范围在1.5×2.0cm-3.0×5cm之间,入院后均第一时间进行创面的清创,之后采取上肢微型游离皮瓣对修复各种外伤所致手指创面进行手术修复.结果：所有患者的皮瓣均成活,创面切口均达到Ⅰ期愈合,主要血管修复后通畅率为100％,手术后随访半年,所有患者均无需再次手术修复,外观恢复良好,功能活动根据中华医学会手外科学会上肢功能活动的评定标准进行评估,其中优良率达到92％.结论：上肢微型游离皮瓣对修复各种外伤所致手指创面是较为理想的手术方法,近期疗效较好.
Objective ： To investigate the micro free flap for upper extremity trauma caused by a variety of surgical procedures to repair a finger wound and short - term effect. Methods： Our hospital from January 2013 to November 2014 patients admitted to hand traumatolo- gy hand wound 50 cases, patients had included hand irregular wounds, wounds in the range of 1.5 x 2.0era to 3.0 x 5em between the first time after admission were wound debridement, after taking miniature arm free flap for repair of various wounds caused by trauma sur- gery to repair a finger. Results： All patients survived flap wound healing incision reached I , up six months after surgery, all patients without surgical repair again, the appearance of a good recovery, functional activities in accordance with the Chinese Medical Association of Hand Surgery Society of upper limb functional activity evaluation criteria assess where excellent rate of 92%. Conclusion ： The upper micro free flap for repair of various wounds caused by trauma finger was an ideal surgical method, the recent good effect.
作者
胡永生
HU Yong - sheng(The Usha Hospital of Changan, Dongguan City 52384)
出处
《中国伤残医学》
2017年第20期14-16,共3页
Chinese Journal of Trauma and Disability Medicine
