摘要
目的 探讨吻合趾背动脉的甲瓣修复拇指甲床及背侧皮肤软组织缺损的临床效果。方法 回顾性分析2019年3月-2021年2月,采用吻合趾背动脉的甲瓣修复10例拇指甲床及末节背侧皮肤软组织缺损患者的临床资料。术后随访患者甲瓣及足部供区的外形、感觉、活动功能等临床效果。结果10例甲瓣及供区皮瓣均一期成活。术后随访3~18个月,平均6个月。拇指外形及功能满意,指甲大小与健侧比较无明显差异,两点辨别觉恢复良好。供区外形满意,足趾行走功能正常。结论采用吻合趾背动脉的甲瓣修复拇指甲床及末节背侧皮肤软组织缺损,修复的拇指外观及功能与健侧相近,手术创伤小,治疗效果显著,值得临床推广。
Objective To explore the clinical effect of repairing the defect of nail bed and dorsal skin tissue of thumb with nail flap anastomosed with dorsal digital artery. Methods Ten patients with dorsal nail bed and skin and soft tissue defects of distal thumb treated in our department from March 2019 to February 2021,who were repaired with nail flap anastomosed with dorsal digital artery, were retrospectively analyzed. The clinical therapeutic effect of shape, sensation and activity function of the nail flap and foot donor area were postoperatively followed up. Results Ten cases of nail flap and donor flap survived at one stage. The patients were followed up for 3-18 months, with an average of 6 months. The shape and function of the thumbs of10 cases were satisfactory, there was no significant difference between the nail size and the healthy side, and the two-point discrimination recovered well. The shape of the donor area was satisfactory and the walking function of the toes was normal. Conclusion The nail flap anastomosed with dorsal digital artery can repair the skin tissue defects of the nail bed and dorsal side of the distal segment of thumb. The appearance and function of the repaired thumb are similar to that of the healthy side, with less surgical trauma and significant therapeutic effect.It is a technology worthy of clinical promotion.
作者
喻田
阮奕焕
王亚军
罗发勇
陈永德
兰荣玉
YU Tian;RUAN Yihuan;WANG Yajun(The 4th Ward of Hand Microsurgery,Guangzhou Heping Orthopedic Hospitall,Guangzhou,Guangdong,510000,China)
出处
《实用手外科杂志》
2022年第2期197-199,共3页
Journal of Practical Hand Surgery
关键词
趾背动脉
甲瓣
拇指
甲床皮肤软组织缺损
Toe dorsal artery
Great toenail flap
Thumb
Defect of skin tissue in nail bed
