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目的观察带蒂髂腹股沟分叶皮瓣Ⅰ期修复多指软组织缺损的临床疗效。方法对12例多指皮肤缺损患者Ⅰ期采用髂腹股沟分叶皮瓣修复,术后3周断蒂。结果术后皮瓣全部成活,创面Ⅰ期愈合。均获随访6~12个月,皮瓣色泽、质地、弹性良好,皮瓣均恢复保护性感觉,能满足日常生活需要。手功能恢复优良率达92%。结论带蒂髂腹股沟分叶皮瓣修复多指软组织缺损方法简单、安全,供区损伤小,手术风险低,是一种较理想的方法。
Objective To observe the clinical efficacy of pedicled iliac groin flap in the repair of multi-finger soft tissue defect. Methods Twelve patients with multi-finger skin defect were treated with ilio-inguinal divisional flap for the first stage and pedunculated after three weeks. Results All the flaps survived and the wound healed in the first stage. All patients were followed up for 6 to 12 months. The flap color, texture and elasticity were good. The flaps all recovered their protective feeling and could meet the needs of daily life. Hand function recovery rate of 92%. Conclusion The pedicle iliac groin flap is a simple and safe method for the repair of multi-finger soft tissue defects. It is an ideal method for the treatment of small area injury and low surgical risk.