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目的:探讨采用腹壁浅动脉双蒂瓣修复儿童多个手指掌侧深度电烧伤的可行性,为相邻多个手指深度创面修复提供临床经验。方法:9例多个手指电烧伤的患儿,创面手术清创后,缝合患指相邻的指间皮肤使其形成一整体创面,根据其形状及大小,设计以腹壁浅动脉为蒂的下腹部双蒂皮瓣修复创面。结果:9例中除1例患儿局部皮瓣感染,经换药后愈合外,其余8例患者皮瓣血供丰富,断蒂后创面全部愈合,手外形及功能满意,随访2～12个月,效果良好。结论:腹壁浅动脉皮瓣血管走向恒定,皮瓣血供丰富,手术操作简单,供区部位隐蔽,是修复相邻多指掌侧电烧伤深度创面的理想方法。
OBJECTIVE: To explore the feasibility of using shallow pedicled shallow pedicled double-flap pedicled with superficial abdominal artery to repair deep electric burn on the palmar side of multiple fingers in children and to provide clinical experience for the repair of multiple deep-finger wounds. Methods: Nine children with multiple finger electric burns were treated with debridement of the wound surface. The adjacent fingers of the skin were sutured to form a whole wound. According to the shape and size of the wound, Abdominal double pedicled flap repair wound. Results: In all 9 cases, except one case of local skin flap infection, the wounds were healed after the dressing change. The other 8 cases had abundant blood supply, and the wounds healed completely after the pedunculation. The shape and function of the hands were satisfactory. The follow-up ranged from 2 to 12 Month, the effect is good. CONCLUSIONS: The superficial veins of the superficialis arterial flap have constant blood flow, abundant blood supply, simple operation and concealed area. It is an ideal method to repair the deep electric wound surface of the adjacent multiple finger.