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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2024年5期

页码:

24-26

栏目:

出版日期:

2024-05-10

文章信息/Info

Title:

Reverse Dorsal Metacarpal Artery Perforator Island Flap was Used to Repair the Wound of Middle and Proximal Dorsal Phalanx with Bone and Joint Exposure

文章编号:

1008-6455（2024）05-0024-03

作者:

王会军¹ ; 步晓惠¹ ; 鲁 冰¹ ; 齐荣荣¹ ; 向 莉¹ ; 蒋永能¹ ; 李 耀¹ ; 李建廷¹; 2; 3

(新疆克拉玛依中心医院 1. 烧伤整形科;2.新疆消化系统肿瘤精准医疗临床医学研究中心;3.新疆临床基因检测与生物医学 信息重点实验室 新疆 克拉玛依 834000 )

Author(s):

WANG Huijun¹ ;  BUXiaohui¹ ;  LU Bing; QI Rongrong¹ ;  XIANG Li¹ ; JIANG Yongneng¹ ;  LI Yao¹ ; LI Jianting¹; 2; 3

( 1.Department of Burn and Plastic Surgery, 2.Xinjiang Clinical Research Center for Precision Medicine of Digestive System Tumor, 3.Xinjiang Key Laboratory of Clinical Genetic Testing and Biomedical Information, Xinjiang Karamay Central Hosptital, Karamay 834000, Xinjiang, China )

关键词:

手指; 骨关节外露创面; 掌背动脉穿支皮瓣; 修复

Keywords:

finger;  exposed wound of bone and joint;  dorsal metacarpal artery perforator fl ap;  repair

分类号:

R622.9

文献标志码:

A

摘要:

目的：探究逆行掌背动脉穿支岛状皮瓣修复指背中近节骨关节外露创面的疗效。方法：2016年1月-2021年12月，笔者 科室应用逆行掌背动脉穿支岛状皮瓣修复手指指背中近节骨关节外露创面25例。其中，男18例，女7例；年龄15～52岁，平 均年龄32岁；致伤原因中重物砸伤13例，机器挤伤10例，电击伤2例；损伤部位中环指9例，小指7例，中指6例，食指3例， 创面大小2 cm×3 cm～3 cm×5 cm。结果：本组中24例患者皮瓣全部成活良好,1例皮瓣远端发紫，经换药，创面愈合，未影响 手术效果。随访3～12个月，皮瓣血运、质地、外形及功能良好。结论：采用逆行掌背动脉穿支岛状皮瓣修复指背中近节骨 关节外露创面，手术创伤较小，操作相对简单，不需要二期手术，能够满足对手的功能与外形的修复，适合基层医院开展。

Abstract:

Objective To explore the curative effect of reverse dorsal metacarpal artery perforator island flap in repairing wounds of middle and proximal dorsal phalanx with bone and joint exposure. Methods From January 2016 to December 2021, reverse dorsal metacarpal artery perforator island fl ap was used to repair 25 cases of wounds with bone and joint exposure in the middle and proximal dorsal phalanx of fi ngers in author’s department. There were 18 males and 7 females. The age ranged from 15 to 52 years (mean, 32 years). The causes of injury included heavy object injury in 13 cases, machine crush injury in 10 cases, and electric injury in 2 cases. The injury site was middle and ring fi nger in 9 cases, little fi nger in 7 cases, middle fi nger in 6 cases, and index fi nger in 3 cases. The wound size ranged from 2 cm×3 cm to 3 cm×5 cm. Results All the 24 fl aps in this group survived well, and the distal end of one fl ap turned purple. After dressing change, the wound healed and the operation eff ect was not aff ected. During follow-up of 3 to 12 months, the blood supply, texture, shape, and function of the fl aps were good. Conclusion The exposed wounds of the middle and proximal phalangeal joints of the fi ngertip can be repaired with the retrograde island fl ap of the distal perforator branch of the back of the hand. The surgical trauma is small, the operation is relatively simple, and the second stage operation is not required. It can meet the requirements of the repair of the function and shape of the opponent. It is suitable for primary hospitals.

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更新日期/Last Update: 2024-05-08