指背皮支链皮瓣修复手指背侧组织缺损的临床应用
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摘要
目的探讨指背皮支链皮瓣修复手指背侧组织缺损的手术方法和疗效。方法应用指背皮支链皮瓣修复手指背侧组织缺损10例,切取皮瓣面积1.0 cm×1.5 cm～2.0 cm×3.0 cm。结果术后仅1例远端出现表皮积液,经相应处理,皮瓣均成活,术后随访3～12月。皮瓣修复后手指外形美观,转移皮瓣外观良好,色泽自然,质地柔软,不臃肿,手指各关节活动功能优良。结论指背皮支链皮瓣血供恒定,不牺牲指动脉,皮瓣设计简易,切取方便,是修复手指背侧组织缺损的简单、安全、有效的方法。
Objective To investigate the surgical method and efficacy of dorsal cutaneous branchchain flaps in repairing dorsal skin defects of the finger. Methods Ten cases of dorsal skin defects of the finger were repaired using dorsal cutaneous branch-chain flaps, with a flap area of 1.0 cm×1.5 cm～2.0 cm×3.0 cm. Results Postoperatively, only 1 case presented effusion at the distal epidermis. After drawing out effusions and wound dressing, all flaps survived. Postoperative follow-up was performed for 3～12 months.After flap repair, fingers showed good appearance. Flaps presented good appearance and color, pliability and no bloating, and all finger joints had good activity function. Conclusion The dorsal cutaneous branchchain flap is characterized by stable blood supply, digital artery preservation, convenient design and simple harvest. Therefore, it is a simple and safe ideal method to repair dorsal skin defects of the finger.
Objective To investigate the surgical method and efficacy of dorsal cutaneous branchchain flaps in repairing dorsal skin defects of the finger. Methods Ten cases of dorsal skin defects of the finger were repaired using dorsal cutaneous branch-chain flaps, with a flap area of 1.0 cm×1.5 cm～2.0 cm×3.0 cm. Results Postoperatively, only 1 case presented effusion at the distal epidermis. After drawing out effusions and wound dressing, all flaps survived. Postoperative follow-up was performed for 3～12 months.After flap repair, fingers showed good appearance. Flaps presented good appearance and color, pliability and no bloating, and all finger joints had good activity function. Conclusion The dorsal cutaneous branchchain flap is characterized by stable blood supply, digital artery preservation, convenient design and simple harvest. Therefore, it is a simple and safe ideal method to repair dorsal skin defects of the finger.
引文
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[2]纪效名,董佳生,生志刚,等.手指逆行岛状皮瓣的临床应用[J].中华显微外科杂志,1989,12(2):82-83.
[3]丁自海,裴国献.手外科解剖与临床[M].济南:山东科学技术出版社,1993:91.
[4]谢松林,唐举玉,陶克奇,等.指固有动脉背侧支为蒂的逆行掌指背筋膜皮瓣的应用解剖[J].中国临床解剖学杂志,2010,28(1):97-100.
[5]李桂石,王增涛,朱磊,等.指动脉皮支与指掌侧固有神经比邻关系及其临床意义[J].中国临床解剖学志,2008,26(1):25-28.
[6]王增涛,朱磊,许庆家,等.手指侧方皮支皮瓣修复指端创面[J].中华显微外科杂志,2009,32(4):293-294.
[2]纪效名,董佳生,生志刚,等.手指逆行岛状皮瓣的临床应用[J].中华显微外科杂志,1989,12(2):82-83.
[3]丁自海,裴国献.手外科解剖与临床[M].济南:山东科学技术出版社,1993:91.
[4]谢松林,唐举玉,陶克奇,等.指固有动脉背侧支为蒂的逆行掌指背筋膜皮瓣的应用解剖[J].中国临床解剖学杂志,2010,28(1):97-100.
[5]李桂石,王增涛,朱磊,等.指动脉皮支与指掌侧固有神经比邻关系及其临床意义[J].中国临床解剖学志,2008,26(1):25-28.
[6]王增涛,朱磊,许庆家,等.手指侧方皮支皮瓣修复指端创面[J].中华显微外科杂志,2009,32(4):293-294.