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应用前臂岛状逆行旋转皮瓣修复手部缺损是一种应用方便,效果良好的术式。但由于其蒂长及面积限制,对手指远端的缺损修复尚存在一定的困难。我院于86年7月曾收治一名右手被木工刨床刨伤后五小时入院的患者。入院查体:全身情况良好。右手拇指桡背侧、大鱼际大部分及第一掌部桡背侧皮肤呈大块缺损。创面深达深筋膜:大鱼际肌肌组织部分缺损。全创面呈椭圆形:拇指背侧远达离甲0.5cm处;近至腕横纹:全长11cm,最窄处3 cm,最宽处8cm。 手术在臂丛阻滞麻醉下,常规行手外伤清
Application forearm island retrograde rotation flap repair hand defect is a convenient, effective surgical technique. However, due to its length and area limitations, there are still some difficulties in repairing the distal defect of the finger. My hospital in July 86 had received a right hand planer planing injury five hours after admission to patients. Admission examination: the whole body in good condition. Right hand thumb dorsal, most of the big fish and the first palm of the radial dorsal skin showed large defects. Wound deep deep fascia: a large part of the major muscle damage. Full wound was oval: the back of the thumb far from the A 0.5cm; near to the wrist striae: full-length 11cm, the narrowest at 3 cm, the widest point 8cm. Surgery in the brachial plexus block anesthesia, routine hand injury clear