黏液囊肿切除术后使用齐特利双叶皮瓣进行皮肤覆盖：33例回顾性队列研究。
The Zitelli Bilobed Flap on Skin Coverage After Mucous Cyst Excision: A Retrospective Cohort of 33 Cases.
作者信息
Jiménez Isidro, Delgado Pedro J, Kaempf de Oliveira Ricardo
机构信息
Hand and Upper Extremity Surgery Unit, Hospital Universitario HM Montepríncipe, Boadilla del Monte, Madrid, Spain.
Hand and Upper Extremity Surgery Unit, Hospital Universitario HM Montepríncipe, Boadilla del Monte, Madrid, Spain.
出版信息
J Hand Surg Am. 2017 Jul;42(7):506-510. doi: 10.1016/j.jhsa.2017.03.013. Epub 2017 Apr 20.
PURPOSE
To study the time to wound healing and recurrence rate achieved in the treatment of distal interphalangeal joint mucous cysts using the Zitelli modified bilobed flap.
METHODS
We surgically treated 33 patients from January 2006 to June 2015. We assessed demographic data, comorbidities, location and size of the cyst, time to wound healing, and complications.
RESULTS
The most affected finger was the right middle finger. All flaps survived and wounds healed in 14 days on average. The mucous cyst recurred in 1 of 33 cases. There were no major complications.
CONCLUSIONS
The Zitelli bilobed flap can provide good-quality skin coverage over the distal interphalangeal joint in a short period.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
目的
研究使用齐特利改良双叶皮瓣治疗远侧指间关节黏液囊肿的伤口愈合时间及复发率。
方法
2006年1月至2015年6月，我们对33例患者进行了手术治疗。我们评估了人口统计学数据、合并症、囊肿的位置和大小、伤口愈合时间及并发症。
结果
最常受累的手指是右手中指。所有皮瓣均存活，伤口平均在14天内愈合。33例中有1例黏液囊肿复发。无重大并发症。
结论
齐特利双叶皮瓣可在短时间内为远侧指间关节提供高质量的皮肤覆盖。
研究类型/证据水平：治疗性IV级。
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