摘要
目的探讨足背十字形皮瓣成形趾蹼修复小儿先天性并趾多趾畸形的临床效果。方法对苏州大学附属无锡九院2019年1至9月的11例先天性并趾多趾患儿的临床资料进行回顾分析。患儿均为第4、5趾并趾合并第5趾多趾畸形,其中男7例,女4例;年龄13个月~9岁,平均5.6岁;左侧6例,右侧5例。该11例患儿均采用趾背十字形皮瓣重建趾蹼。术后随访趾蹼外观、深度、坡度。结果所有病例趾蹼、趾根、足趾侧方均未植皮,创面均一期愈合,无感染及皮瓣坏死等情况发生。术后随访5~14个月,趾蹼深度、宽度、坡度形态与健侧相近,其中2例趾背出现轻度瘢痕增生。结论十字形皮瓣设计简单、血供可靠、对趾背皮肤利用率高、术中无需植皮且能重建正常形态的趾蹼,用于治疗先天性并趾多趾畸形疗效确切。
Objective To investigate the effectiveness of cross flap in reconstruction of the web space in congenital toe syndactyly.Methods From January 2019 to September 2019,11 patients with congenital toe syndactyly were treated for web space reconstruction with dorsal cross flap.There were 7 boys and 4 girls with the average age of 5.6 years old.There were 6 cases of congenital toe syndactyly located at left foot and 5 cases located at right foot.During follow up,the web space appearance,web space depth,and web space gradient were observed to evaluate the effectiveness.Results In all cases,there were no skin grafts on the web,root and side of the toe.The incisions were primary healing without infection or necrosis.After 5-14 months follow-up,the depth,width and gradient of the web were normal,and 2 cases had slight cicatricial hyperplasia.Conclusions The cross flap is easy to design.It has advantages of reliable blood supply,high utilization of skin on the dorsum of toe,without skin grafting and reconstruction of normal toe web.
作者
印飞
沈小芳
王军
林伟枫
Yin Fei;Shen Xiaofang;Wang Jun;Lin Weifeng(Department of Pediatric Orthopaedic,Wuxi No.9 People’s Hospital Affiliated to Soochow University,Wuxi 214000,China;Department of Orthopaedic,Children’s Hospital of Soochow University,Suzhou 215003,China)
出处
《中华整形外科杂志》
CSCD
2021年第3期315-318,共4页
Chinese Journal of Plastic Surgery
基金
江苏省青年医学重点人才培养计划(QNRC2016171)。
关键词
并指(趾)
先天畸形
外科皮瓣
趾蹼
Syndactyly
Congenital abnormalities
Surgical flaps
Web space
