手指创面皮瓣修复的六项原则＆推荐建议PPT课件

手指皮肤软组织缺损，是临床最常见的损伤之一·52”生用外2I7生1月三1装第1 OURNAL OP PRLACTICAL HAND SURCERY M27,Vd3L山L·临床论若·文章增号：l67-21242017)0-008-04手部带蒂皮瓣修复手指皮肤软组织缺损2017年，刘应良为第一作者发刻应良，双志仁，张泰能，陈泰辉，赵底年，陆寺'，起良择。桥正权。余期，孙红伟L.造雄州人发税骨科，云南是准61500：2贵阳华夏骨科饮风骨科，费周贵阳550000：1.珍市西丰县第长风骨科，星宁在中11240)表《手部带蒂皮瓣修复手指皮渊到：日的探计多种手斯管带皮姆修复手指皮秋软缸织缺桶的手表方法和临床疗姓。方法211年0州-201+年9月.放油手指走股款组织缺桶51例59指，其中餐相16相，示握19指，中指13指，环相肤软组织缺损》的临床论著7,小指4推。分利来用“V-Y推进友脚修复20指，示指青侧发御修复5程，学传逆行度脚修复3程，第1掌骨绕常衡皮前修复8程，指动脉递行庄前修复15指。蓝果本如5引例5印俗皮解中5路强发等完全成活：1例虎醉年分坏死，整换药后老合。术后均获得一36个月的随诗，平均13个月。虎期发地采款，外观忠漏.两杰种别觉为3.0小0.0mm,平均6.1mm,无外观帅非、触满￥并发应。手动能按手相些主动浩动成TA0法评定：视51指，度6程，可2指，化爽车966张。塘地手部带香皮期是修复手指皮酰秋组氨缺损的一种良好方法。文章提出手指创面皮瓣修复的天键司：指提售：外料应解：治摩贴果d!10.396a/1.133n.l671-2722.201i.0L.017Repair of finger soft tissue defects by pedicled Bap of hand六项原则（和/或推荐意见），LIU Ying-lang.SHUANG Zhi-ren,ZHANG Chun-neng.et alDepartent of Orthopedics,The People's Hopital of Chuxiong Sute,Chudong,Yunman,675000,China)以供同道不同意见探讨及参考Abstract:Objective To meport the sungical techniques and clinical sesult of pedicled hand fhps foereconstruction of finger soft tisue defects.Methods Fom October 2011 to September 2014.51 caes of 59ngers soft disue上fect,anong these16 humb finger到，19ln士c fingers,13 midde finger7ngi血genand 4 little fingers were involved.V-Y advancement faps were uned in 20 fingers,doraal digital flaps fromthe index were used in 3 fingen,revened dosal metacarpal flaps were used in 13 fingens,radius-dorldigitall flaps from the thumb were used in 8 fingers,revemved digital artery flaps were used in 15 fingers.导出：Results58 of thelas in 51 patis srvived One hd partiaand the wound cled afiechange dressings many times.59 patiene were followed-up for 7 to 36 morths (mean,13 months).Nopaent was lost to follow-up.The flaps were supple and full Two-point discrimnadion was 3 to 10 mm[1]刘应良，双志仁，张春能，等.手部带蒂皮瓣修复with an avrenage of 6.1 mm.There were no bulkiness and tendemes.The potoperacive outcomes were手指皮肤软组织缺损[J刀].实用手外科杂evaluated by the todl active movemet (TAM)seale.The reaks were rated as excellent in 51 fingesgood in 6 fingers and fair in 2 fingers.The overal sacisfictory rate was 96.6%.Conclusion It is a good志，2017，(1)：52-55.D0I:10.3969/j.issn.1671atictory way and cption for reconsruction of fnger sot tisue defecu by peicled fp of hand.2722.2017.01.017.六项原则VS6个病例·抽繁出简·在刘应良医师亲自主刀或指导的几百例带蒂或游离皮瓣手术中·遴选了6个典型病例·配合文章萃取、整理、调整●1极致简洁的6张PPT,进行深度解密·以供同道专家欣赏、探讨、争议、参考Tips1:拇指指腹缺损，首选示指背侧皮瓣Case NO.1:·携带完整的顺行神经移植，重建生理性的拇指实物觉、痛觉、温度觉、触觉、压觉等各种重要神经功能，超过任何一种损伤后外科再修复的神经移植办法。