全手指脱套伤皮瓣修复系数的实验研究
收稿日期: 2013-06-28
网络出版日期: 2014-04-21
基金资助
苏州市科技计划应用基础研究计划(SYSD2012051)
Exploring study on flap coefficient of degloving finger injuries
Received date: 2013-06-28
Online published: 2014-04-21
张广亮 , 巨积辉 , 金光哲 , 李祥军 , 唐林峰 , 廖观祥 , 宋二发 , 侯瑞兴 . 全手指脱套伤皮瓣修复系数的实验研究[J]. 中国临床解剖学杂志, 2014 , 32(2) : 145 -147 . DOI: 0.13418/j.issn.1001-165x.2014.
Objective To explore a kind of both simple and accurate method of designing skin flaps for repairing degloving finger injuries. Methods The middle fingers were made to the models of degloving injury of the whole finger in twenty flesh cadaveric specimens. We divided the wound and the degloved skin into two parts: the dorsal part and the volar part. The length, the proximal and distal width of the wound and degloved skin were measured. Flap coefficient(=length of skin/length of wound) was calculated from the above data according to flap coefficient. Results There is a constant proportional relationship between skin and wound, which was named flap coefficient. The length coefficient was 1.2, and the width was 1.6. Conclusion The flap coefficient is beneficial for us to simply and accurately design skin flaps for repairing degloving finger injuries.
Key words： Finger; Degloving injuries; Surgical flaps; Transplantation
[1] 储国平，吕国忠，赵庆国，等. 同指近节和中节逆行岛状皮瓣瓦合修复手指末节脱套伤
[J].中华显微外科杂志，2012，35(4)：340-341.
[2] 刘伟，宣昭鹏，路来金. 四肢皮肤脱套伤原位回植相关临床分析
[J].中华显微外科杂志，2012，35 (1)，35:74-76.
[3] 唐林峰，侯瑞兴，巨积辉，等. 173指手指皮肤套状撕脱伤临床疗效分析
[J].中华手外科杂志，2012，28(4)：230-232.
[4] 巨积辉，李建宁，李祥军，等.吻合血管回植术治疗全手皮肤套脱伤
[J].中华手外科杂志，2012，28(4):218-220.
[5] 糜菁熠，芮永军，沈小芳，等.应用改良母甲瓣修复拇手指脱套伤
[J].中华显微外科杂志，2011，34(5):366-369.
[6] 富玲，王彦生，辛畅泰. 腹部皮瓣修复多手指套脱伤
[J].中华手外科杂志，2011，27(1):19.
[7] 宿晓雷，杜志国，丁明斌，等.下腹部单蒂三叶薄皮瓣修复多指套脱伤
[J].中华手外科杂志，2012，28(2):86-87.
[8] Davis Sears E, Chung KC. Replantation of finger avulsion injuries: a systematic review of survival and functional outcomes
[J]. J Hand Surg Am，2011，36(4):686-694.
[9] Lefèvre Y, Mallet C, Ilharreborde B, et al. Digital avulsion with compromised vascularization: study of 23 cases in children
[J]. J Pediatr Orthop，2011，31(3): 259–265.
[10] 康庆林，陈宇杰，韩培，等.吻合血管原位修复手部皮肤撕脱伤
[J].中华显微外科杂志，2009，32(3):199-201.
[11] 巨积辉，侯瑞兴，陈宏彬，等. 带瓶样足背皮瓣的第二趾甲皮瓣修复全手指皮肤套脱伤
[J]，中华手外科杂志，2006，22(2)：70-72.
[12] 苏红青，高风梅，邵新中，等.髂腹股沟皮瓣修复手指套脱伤
[J].中华手外科杂志，2011，27(2):128.
[13] 刘刚义，席志峰，王从虎，等.多块游离组织组合移植修复重建手功能
[J].中华显微外科杂志，2012，35(4):336-337.
[14] 王天亮，巨积辉，赵强，等.双足第2趾皮瓣瓦合修复手指Ⅰ度脱套伤
[J].中国临床解剖学杂志，2013，31(1)：108-111.
[15] 王斌，蒋文平，李文龙，等.游离第二足趾背甲皮瓣联合姆趾腓侧皮瓣游离移植修复单指脱套伤
[J].中华显微外科杂志，2012，35(6)：444-446.
/
| 〈 |
|
〉 |
京ICP备08002354号-3
