引用本文:朱展标,施能槐,付宏波.髂腹股沟皮瓣修复手部外伤组织缺损20例的临床观察[J].中国临床新医学,2015,8(11):1069-1071.
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髂腹股沟皮瓣修复手部外伤组织缺损20例的临床观察
朱展标,施能槐,付宏波
547200 广西,南丹县人民医院骨科
摘要:
[摘要] 目的 观察髂腹股沟皮瓣修复治疗手部外伤组织缺损的临床效果。方法 选择2010-03~2013-12该院收治的20例手部外伤组织缺损患者为研究对象,均给予髂腹股沟皮瓣修复治疗,观察临床治疗效果。结果 20例患者经髂腹股沟皮瓣修复后皮瓣全部成活,术后随访6个月,18例患者对修复外形及正常功能恢复效果满意,2例患者皮瓣稍有臃肿而接受二次去脂修整手术,术后基本满意。结论 对于手外伤严重伴有组织缺损而创面不能接受植皮的患者,选择腹部带蒂髂腹股沟皮瓣修复治疗可以取得良好的效果,而且供区隐蔽,在设计上可不限制长宽比例,手术操作方便,对患者创伤也在可控制范围内,值得推广应用。
关键词:  手部外伤  组织缺损  髂腹股沟皮瓣  临床效果
DOI:10.3969/j.issn.1674-3806.2015.11.19
分类号:R 6
基金项目:
Clinical observation of 20 cases of groin flap repairing traumatic tissue defect of hands
ZHU Zhan-biao, SHI Neng-huai, FU Hong-bo
Department of Orthopedics, the People′s Hospital of Nandan County,Guangxi 547200,China
Abstract:
[Abstract] Objective To investigate the clinical effect of groin flap repair for the treatment of traumatic tissue defect of hands.Methods Twenty patients with hand tissue defects in our hospital from March 2010 to December 2013 were collected as the research objects.Results Twenty cases survived, with a follow-up of 6 months. 18 cases felt satisfactory to the recovery of the repairment and function and other 2 cases received fat free dressing operation for shin flap slightly.Conclusion Patients with severe hand injury and tissue defects who are not suitable for shin grafting operation can accept, the repair operation of abdominal pedicled groin flap. The operation is convenient and effective with hidden donor site and unlimited width and length of graft.
Key words:  Hand trauma  Tissue defect  Groin flap  Clinical effect