• 指背逆行筋膜皮瓣修复手指末节组织缺损的临床疗效
  • Clinical Effects of Dorsal Distal Reverse Fascial Flap in the Repair of Distal Finger Tissue Defect
  • 吴日强.指背逆行筋膜皮瓣修复手指末节组织缺损的临床疗效[J].中国烧伤创疡杂志,2015,(4):260~262.
    DOI:
    中文关键词:  指背逆行筋膜皮瓣  手指末节缺损  手外伤  疗效
    英文关键词:Dorsal distal reverse fascial flap  Distal finger  Defect  Hand injury  Therapeutic effect
    基金项目:
    作者单位
    吴日强 云浮市人民医院 
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    中文摘要:
          目的 观察指背逆行筋膜皮瓣修复手指末节组织缺损的临床效果。方法 对60例手指外伤患者的手指末节组织缺损采用指背逆行筋膜皮瓣进行修复,术后给予抗感染、改善微循环、营养支持等全身治疗,观察创面愈合效果。结果 本组60例患者术后皮瓣均成活,随访6~18个月,其手指外形及功能均恢复满意。结论 指背逆行筋膜皮瓣修复手指末节软组织缺损及骨外露疗效显著,且操作简便,愈后功能及外形恢复良好,值得临床推广应用。
    英文摘要:
          Objective To observe the clinical effects of dorsal distal reverse fascial flap in the repair of distal finger tissue defect. Methods Sixty patients with distal finger tissue defect caused by hand injuries were repaired with dorsal distal reverse fascial flap, followed by systemic managements such as infection control, micro-circulation improvement, nutritional support, etc. Effect on wound healing was observed. Results All flaps of the sixty patients survived. 16-18 months of follow-up showed the appearances and functions of fingers achieved satisfying restoration. Conclusion Dorsal distal reverse fascial flap in the repair of distal finger tissue defect and bone exposure should be popularized in clinical practice since it can realize significant therapeutic effects, i.e. restore excellent finger appearance and functions, in addition to operational convenience.