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目的探讨应用指尖舌形皮瓣重建侧甲襞联合矩形皮瓣重建指蹼治疗先天性并指畸形的疗效。方法先天性并指畸形患者30例采用指尖舌形皮瓣重建侧甲襞联合矩形形皮瓣重建指蹼,并指之间掌、背侧设计锯齿形切口,切取皮瓣并进行分指矫形术,手指侧方剩余创面行全厚皮片植皮修复。术后预防感染,拆线后指导患者进行功能锻炼。结果 30例患者植皮后有26例完全存活,4例大部分存活,指尖部的舌状瓣及指蹼部位的矩形瓣均存活,手指的功能较术前明显改善,根据Swanson手功能的评定标准。优:25例,良:4例,差:1例。结论应用改良指尖舌形皮瓣重建侧甲襞联合矩形皮瓣重建指蹼治疗先天性并指畸形具有良好的临床效果。
Objective To explore the curative effect of reconstruction of finger webs with congenital deformity by reconstruction of lateral nailfold combined with rectangular flaps of fingertip tongue flaps. Methods 30 cases of congenital and deformity patients with fingertip tongue flaps reconstruction of the side nail combined rectangular flap reconstruction finger webbed, and refers to the palm and dorsal serrated incision, the flap was cut and divided into parts Orthopedic Surgery, the remaining side of the finger to the full thickness of the skin flap skin graft repair. Postoperative infection prevention, stitches guide patients after functional exercise. Results Twenty-six of 30 patients survived completely after skin grafting, and most of them survived in 4 patients. The flap of finger tip and the rectangular flap of webbed finger all survived, and the function of fingers was significantly improved compared with that before operation. According to the evaluation of Swanson hand function standard. Excellent: 25 cases, good: 4 cases, poor: 1 case. Conclusion Reconstruction of lateral nail flap combined with rectangular flaps to improve the therapeutic effect of congenital deformity with modified fingertip tongue flap has the good clinical effect.