儿童先天性皮肤并指畸形的显微外科治疗

目的：探讨应用显微外科技术治疗儿童先天性皮肤并指畸形的效果。方法：对32例儿童先天性皮肤并指畸形进行显微外科手术，具体步骤为：切开并指相连的皮肤，镜下松解后，选用相应尺寸的掌骨背侧皮瓣，转移修复指侧方皮肤缺损和参与指蹼重建。结果：所有皮瓣均成活，指侧方皮肤无瘢痕形成，指蹼再造效果较满意。结论：应用显微外科技术，可较好修复儿童先天性皮肤并指畸形。

Microsurgical repair of syndactyly of the fingers in children]

OBJECTIVE: To evaluate the effectiveness of microsurgical technique for repairing syndactyly of the fingers in children. METHODS: Microsurgical repair of syndactyly of the fingers was performed in 32 children. The skin joining the syndactyly was incised and relaxed under microscope, and dorsal metacarpal flap of comparable size was used to repair the lateral skin defect of the finger and also to reconstruct the finger web. RESULTS: All the flaps survived without scar leaving on the lateral skin of the fingers, and the reconstruction of the finger web was satisfying. CONCLUSION: Microsurgical technique is applicable in the surgical repair of syndactyly of the fingers in children.