摘要
2010年1月—2017年12月,笔者单位收治4例电烧伤致拇指坏死的患者,均为男性,年龄31~58岁,其中右手拇指Ⅱ度损伤1例、右手拇指Ⅲ度损伤2例、左手拇指Ⅲ度损伤1例。于伤后7 d内,全身麻醉下常规清创,拇指Ⅲ度缺损选用对侧第2足趾复合组织瓣移植再造,拇指Ⅱ度缺损选用同侧拇趾末节复合组织瓣移植再造。将足背动脉与桡动脉吻合,大隐静脉或足背静脉与头静脉吻合。供瓣区均移植自体大腿中厚皮。术后2周组织瓣及皮片全部存活。术后随访1年,4例患者再造拇指可完成桡侧外展和掌侧外展,功能恢复良。足趾复合组织瓣游离移植再造拇指是修复电烧伤致坏死拇指的较佳方法。
From January 2010 to December 2017, 4 patients of thumb with necrosis caused by electric burns (all male, aged from 31 to 58 years) were admitted to our hospital, with 1 patient of second degree injury of right thumb, 2 patients of third degree injury of right thumb, and 1 patient of third degree injury of left thumb. Routine debridement under general anesthesia was performed within 7 days after injury. The compound tissue flap of contralateral second toe was transplanted to reconstruct the thumb with third degree defect, and compound tissue flap of ipsilateral distal hallex was transplanted to reconstruct the thumb with second degree defect. Dorsalis pedics artery was anastomosed with radial artery, saphenous vein or dorsalis pedics vein was anastomosed with cephalic vein. The donor site was transplanted with split-thickness skin graft from autologous thigh. All the tissue flaps and skin grafts survived in 2 weeks after surgery. Within 1 year of follow-up, the reconstructed thumbs can achieve radial abduction and palmar abduction with good function. Reconstruction of thumb with free transplantation of compound tissue flap of toe is a good method to repair thumb with necrosis caused by electric burn.
作者
曹胜军
王凌峰
巴特
荣志东
胡国林
周彪
李全
阎增强
Cao Shengjun;Wang Lingfeng;Ba Te;Rong Zhidong;Hu Guolin;Zhou Biao;Li Quan;Yan Zengqiang(Department of Burns,the Third Affiliated Hospital of Inner Mongolia Medical University,Inner Mongolia Institute of Burn Research,Baotou 014010,China)
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2019年第10期761-763,共3页
Chinese Journal of Burns
关键词
烧伤
电
足趾皮瓣
拇指再造
Burns, electric
Toe surgical flaps
Thumb reconstruction
