目的 探讨非对称性O-Z旋转皮瓣修复指(趾)部圆形缺损的手术方式和临床效果.方法 采用非对称性O-Z旋转皮瓣修复33例手指(足趾)圆形缺损(面积0.5 cm×0.5 cm～1.5 cm×1.5 cm)患者.结果 33例均获随访,时间3～12个月.31例皮瓣完全成活,2例发生皮瓣边缘坏死,经加强换药后愈合.皮瓣质地、外观、功能、感觉恢复良好.根据中华医学会手外科学会上肢部分功能评定试用标准评定:皮瓣感觉31例恢复至S4,2例恢复至S3+.结论 非对称性O-Z旋转皮瓣修复手指(足趾)圆形缺损具有操作简单、创伤小、经济实用、利于指(趾)功能及外形恢复等优点,临床效果良好.%Objective To investigate the methods and clinical effect of the asymmetric O-Z rotation flap for the repair of finger (toe) of round defects. Methods Using asymmetric O-Z rotation flap to repair 33 cases of finger (toe) round defect from 0. 5 cm×0. 5 cm to 1. 5 cm×1. 5 cm. Results 33 cases were followed up for 3～12 months. The 31 flaps survived completely ,2 cases of edge of the flap got necrosis, and healed after strengthening of changing dressings. Skin texture, appearance, function, and feeling got good recovery. According to hand surgery society of Chinese Medical Association Evaluation of upper extremity function trial standard evaluation; sensory flap 31 cases recovered to S4, 2 returned to S3+. Conclusions Asymmetric O-Z rotation flap for repair of finger (toe) round defect has the advantages of simple operation, less trauma, economical and practical, beneficial to finger (toe) function and appearance etc, and the clinical effect is good.
展开▼
