摘要
目的 探讨前臂及拇背侧带皮神经营养血管蒂岛状皮瓣临床应用的适应证。方法 利用以前臂外侧皮神经营养血管为蒂的岛状皮瓣修复拇指末节脱套伤 2例 ,带拇背桡侧皮神经营养血管蒂岛状皮瓣及尺背侧皮神经营养血管蒂逆行岛状皮瓣修复拇指掌侧软组织缺损 10例。皮瓣切取面积 2cm×3cm～ 7cm× 11cm。结果 11例皮瓣全部成活 ,1例前臂外侧皮神经皮瓣因切取面积较大导致远端部分坏死。结论 以前臂皮神经营养血管为蒂的岛状皮瓣适用于拇指末节脱套伤 ,但皮瓣长度不应超过11cm ;拇背侧皮瓣宽度较小 ,仅适宜修复拇指较小面积的软组织缺损。
Objective To investigate the indication for forearm and dorsal thumb neurocutaneous axial island flap.Methods The degloved injury of distal phalanx of thumb was covered by forearm neurocutaneous axial island flap for two cases. Soft tissue defect of the thumb at palmar side was repaired by radial and ulnar dorsal thumb neurocutaneous axial island flap for 10 cases. The area of the flap was 2 cm × 3 cm ～ 7 cm × 11 cm. Rusults All 11 cases of the surgical flaps were survived, except 1 case in which distal partnecrosis occurred in forearm lateral neurocatomeous flap due to its larger area. Conclusions Forearm neurocutaneous axial island flap was suitable for repairing the degloved injury of the distal phalanx of thumb. But the length of the flap should not exceed 11 cm. The dorsal thumb flap was only chosen for minor area soft tissue defect in thumb due to its short length.
出处
《中华手外科杂志》
CSCD
2001年第B06期22-23,共2页
Chinese Journal of Hand Surgery
关键词
外科皮瓣
拇指
皮神经营养血管蒂皮瓣
Surgical flaps
Thumb
Wounds and injuries
Neurocutancous axial island flaps
