V-Y推进皮瓣修复手指端缺损的临床应用<br />-《中国美容医学》

文章信息/Info

Title:: Clinical Application on the Treatment of 32 Cases with Finger Defects by V-Y Advancement of Skin Flap

Keywords:: ; Key words: finger tip defect; V-Y advancement skin flap; repair; phalangeal fracture; tendon injury

摘要:: [摘要]目的：分析探讨V-Y推进皮瓣修复术对手指端损伤修复治疗效果的临床分析。方法：选取2016年8月-2018年3
月在笔者医院手术的32例（32指）手指端缺损患者进行研究。均采取V-Y推进皮瓣修复术进行缝合，皮瓣切取范围为
1.0cm×0.6cm～2.4cm×1.0cm。如有骨折则先复位固定，如有肌腱损伤则先缝合。在术前和术后12个月随访观察手指长度，
皮瓣存活状况。通过观察评估V-Y推进皮瓣修复术对手指端缺损的疗效。结果：对32指进行V-Y推进皮瓣修复术后，32指均修
复成功，皮瓣全部存活，且缺损手指短外形较好，术前长度为（8.36±0.50）cm，术后长度为(8.27±0.30)cm，手术前后长
度比较，差异无统计学意义（P ＞0.05）。术后32例患者均获得了1年随访评估，随访发现手指质地较柔软，外表美观，同时
无其他不良症状。结论：V-Y推进皮瓣修复术对手指端残缺患者具有较好的疗效，值得在临床推广应用。

Abstract:: Abstract: Objective To analyze the therapeutic effect of V-Y advancement skin flap repair on hand tip injury. Methods The 32
cases (32 fingers) with finger tip defects were operated in hospital from August 2016 to March 2018. The 32 patients (32 fingers)
underwent V-Y advancement skin flap repair, and t The range of skin flaps was 1.0cm×0.6cm-2.4cm×1.0cm. If there was a fracture,
it would first be fixed and fixed. If there was a tendon injury, it would first be sutured. The length of fingers and the survival of skin
flap were observed at 12 months before and after operation. Objective to evaluate the efficacy of V-Y in the repair of the finger tip
defect. Results The 32 fingers were repaired with V-Y advancement skin flap, 32 fingers were repaired successfully. The results
showed that all the repaired flaps survived, and the short shape of the finger was better. The length of the flap was (8.36±0.50)cm
and the length was (8.27±0.30)cm. There was no significant difference between the length and the length of the operation (P＞0.05).
All the 32 patients after the operation were followed up for 1 year. The follow-up found that the fingers were soft and beautiful,
with the same appearance, and the same appearance.There were no other adverse symptoms. Conclusion The V-Y advancement
skin flap repair has good curative effect on the patients with poor finger tip, and is worthy of clinical application.