拇指尺背侧皮瓣在拇指远端损伤修复中保留拇指长度的效果探讨<br />-《中国美容医学》

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Title:: Clinical Application of Dorsal Ulnar Thumb Flap in Preserving Thumb Length in Distal Thumb Injury

Keywords:: ; Key words: dorsal ulnar thumb flap; injury; repair; distal thumb; open wound

摘要:: [摘要]目的：探讨拇指尺背侧皮瓣在拇指远端损伤修复中保留拇指长度的临床应用效果。方法：2013年5月-2018年6月，笔
者单位应用拇指尺背侧皮瓣修复20例患者21指拇指远端损伤创面，皮瓣切取面积2.8cm×2.5cm～3.8cm×3.2cm，供瓣区均于
同侧上臂内侧切取全厚皮片移植修复。结果：术后21例皮瓣全部成活，血运良好，最大限度地保留了拇指的长度，供瓣区移
植皮片均成活。术后6个月～1年随访，皮瓣质地、色泽、外形良好，感觉亦有不同程度恢复，最大限度地保留了拇指的外形
及功能。结论：拇指尺背侧皮瓣具有手术操作简单、皮瓣成活率高、能最大限度保留拇指长度及拇指功能等优点，是修复拇
指远端损伤最大限度保留拇指长度较为理想的皮瓣。

Abstract:: Abstract: Objective To understand the clinical application of dorsal ulnar thumb flap in preserving thumb length in distal
thumb injury. Methods From May 2013 to June 2018, 21 cases of distal thumb injuries were repaired with dorsal ulnar thumb
flaps in 20 patients. The area of the flaps ranged from 2.8cm×2.5cm to 3.8cm×3.2cm. Full thickness skin grafts were removed
from the medial part of the same upper arm. Results All flaps survived, blood supply was good, thumb length was preserved
to the maximum extent, and skin grafts from donor site survived. Follow-up from 6 months to one year after operation showed
that the skin flaps had good texture, color and shape, feelings also recovered to varying degrees, and retained the shape and
function of the thumb to the greatest extent. Conclusion The dorsal ulnar thumb flap has the advantages of simple operation,
high survival rate, maximum retention of thumb length and thumb function. It is an ideal skin flap for repairing distal thumb
injury and maximum retention of thumb length.