杨立文 边子虎 廖洪跃 饶海群 黄大江

    杨立文,1963年生,汉族。1986年江西医学院医学系毕业,1999年江西医学院烧伤整形专业研究生,现为武警江西总队医院外二科副主任,中华烧伤整形医学会江西分会常委。发表论文20余篇,获武警部队科技成果进步奖3等奖2项。

    摘 要 目的:介绍一种非显微手术行离断拇指再造的良好方法。 方法:离断拇指复合组织回植、腹部真皮下血管网皮瓣包埋再造拇指。 结果:5例5指皮瓣及回植的断指复合组织均成活,再造拇指有指甲生长,外形美观,功能良好。感觉略为迟钝。

    结论:离断拇指,在丧失再植条件,病人拒行足趾移植,并要求重建恢复拇指外形、功能时,采用此法可获较好效果。

    关键词 离断拇指 复合组织回植 真皮下血管网皮瓣 再造

    THUMB RECONSTRUCTION THROUGH THE BACK PLANTATION OF

    COMPOUND TISSUE OF SEVERED THUMB AND THE EMBEDDING OF SKIN FLAP

    Yang Liwen Bian Zihu Liao Hongyue et al

    No.2 Surgical Department,Hospital Of Jiangxi Armed Police Force (Jiangxi 330001)

    Abstract Objective:To introduce a good method for the reconstruction of severed thumb by non-microsurgery. Method:Thumb reconstruction through the back plantation of compound tissue of severed thumb and the embedding of skin flap of abdominal subpapillary vascular net. Result:The skin flap and the back-planted compound tissue of severed thumb all survive in these 5 severed thumb cases of the group,and the reconstructed thumb shows beautiful in appearance with the finger nail grown up and with a good thumb flexionand extension,but unfortunately shows dysesthetic. Conclusion:The thumb reconstruction through this method is now one of the ideal methods for those who refuse to undergo a pediphalanx transplantation even if deprived of the replantation conditions,but expect to restore the functions and appearance of thumb. ......