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wen he pi shen jing de mu zhi chi bei ce dong mai dao zhuang pi ban xiu fu mu zhi yuan jie ruan zu zhi que sun
Author(s): 
Pages: 516-517
Year: Issue:  6
Journal: Journal of Nantong University(Medical sciences)

Keyword:  皮瓣拇指修复;
Abstract: 目的:应用拇指尺背侧动脉逆行岛状筋膜皮瓣修复拇指远节软组织缺损.方法:对15例拇指远端软组织缺损并伴骨外露者,采用以拇指尺背侧动脉为蒂的皮瓣逆行转移修复.该皮瓣的设计以拇指尺背侧动脉体表投影线为轴心线,距甲皱襞2.3 cm处为旋转点,皮瓣面积可达3.0 cm×2.5 cm.结果:术后15例皮瓣成活良好,3例皮瓣远端肿胀,经蒂部拆线减张后缓解.术后随访2~6个月,拇指外形满意,指腹2点分辨觉为5~10 mm.掌指关节屈曲0°~90°,指间关节屈曲0°~80°.结论:该术式的最佳适应证为拇指远端或背侧皮肤、甲床缺损骨外露.
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