现就职顺资料义区医院急诊科，外科医.docVIP

李建峰，男，31岁，中共党员，现就职顺义区医院急诊科，外科医师。2006年6月河北医科大学硕士研究生毕业，手外科专业。 主要研究方向：手部功能重建 周围神经损伤 参与科研项目： “补阳还五汤促进皮瓣早期断蒂的实验研究” 2005年已立项河北省卫生厅指令性项目。 发表论文： 重度虎口挛缩的显微外科修复与一期拇对掌功能重建. 中华手外科杂志，2006年第3期。 外固定架治疗桡骨远端骨折的临床分析. 实用手外科杂志，2006年第4期。 带蒂皮瓣瓦合修复全手脱套伤. 河北医药， 2006年第4期。 重度虎口挛缩的显微外科修复与一期拇对掌功能重建 120院外 李建峰 【摘要】 目的：研究重度虎口挛缩伴拇对掌功能障碍者，在解除挛缩，皮瓣修复虎口的同时行环指屈指浅肌腱移位重建拇对掌功能的手术疗效。方法：1996年―2005年，对18例重度虎口挛缩伴拇指对掌功能障碍者在切除虎口周围瘢痕组织和粘连带后，将环指指浅屈肌腱转位重建拇外展功能，用鼻烟窝皮瓣、骨间前动脉背侧支皮瓣或尺动脉腕上皮支皮瓣逆行转移修复虎口皮肤缺损，并用弓形针固定拇指于外展对掌位。结果：术后随访6―12个月 ，18例患者虎口角平均增大60°（35°－70°），虎口宽度平均增加40mm（35－55mm），恢复了拇指外展对掌功能。结论：重度虎口挛缩在解除其挛缩开大虎口的同时行拇外展功能重建手术一次完成、简单，虎口开大及对掌功能恢复可靠。 【关键词】 虎口挛缩 外科皮瓣 拇指对掌功能 功能重建 Microsurgical reconstruction of severe contractures of the first web space and one stage thumb opponensplasty. Shao Xin-zhong*, Li Jian-feng*, Qu Xian-fang ,et al.. Department of Hand Surgery, the Third Affiliated Hospital , Hebei Medical University, Shijiazhuang 050051, China 【Abstract】 Objective To investigative the therapeutic effects of flaps repairing severe contracture of the first web space and one stage thumb opponensplasty with flexor digit superficialis tendon of ring finger. Methods 18 case sever contracture of the first web space with loss of thumb opponens function were treated between 1996 and 2005. In addition to microsurgical reconstruction with snuff-box flap, posterior interossous island forearm flap,dorsal carpal branch of ulnar artery flap, thumb opponensplasty with flexor digit superficialis tendom of ring finger transfer was done.. Thumb was fixed in opponens position with arch pin. Results All patients were followed for 6-12 months. All of the flaps obtained success. The width of the first web space was augmented an average of 40mm(35mm-50mm),the angel of the first web space was augmented an average of 60°(35°-70°).The opponens function of thumb improved. Conclution For severe contractures of the first web space microsurgical reconstruction with flaps and one stage thumb opponensplasty is a simple and reliable method