摘要
目的探讨应用掌背动脉皮支皮瓣修复手指软组织缺损的方法和效果。方法选择2013年3月~2016年3月收治入院的采用掌背动脉皮支皮瓣修复手指软组织缺损患者18例进行回顾性分析。结果 18例皮瓣完全存活,伤口Ⅰ期愈合;其中3例皮瓣远端表皮坏死,经换药后愈合。随访4~14个月,平均10个月,皮瓣色泽、外形、质地均良好,温度、触觉、痛觉存在,无臃肿,恢复大部分感觉功能,手指屈伸功能未受影响,按TAM法评价达健侧者占70%~85%。皮瓣位于掌侧者经缝合神经两点分辨觉可达7~10 mm(平均8.5 mm)。供区创面直接缝合13例,植皮修复5例,均Ⅰ期愈合,瘢痕增生不明显。伤指功能活动良好。结论掌背动脉皮支皮瓣切取方便,血供可靠,不牺牲主干血管,是修复手指软组织缺损的良好方法。
Objective To study the method and effect of dorsal metacarpal artery skin flap in repairing finger soft tissue defects.Methods From March 2013 to March 2016,18 patients with finger soft tissue defects who were admitted to the hospital and given dorsal metacarpal artery skin flap repair were retrospectively analyzed.Results 18 cases of flap were completely survived and the wound was healed at stage I ;among them,distal epidermal necrosis were observed in 3 cases of flap,and was healed after dressing.The patients were followed up for 4 to 14 months,with an average of 10 months. The flap color,shape and texture were good.Temperature,touch,pain were still existed.No bloat was seen.Most of the sensory function were recovered,and the finger flexion and extension function was not affected.According to TAM method,the healthy side was evaluated accounting for 70%-85%.Two-point-discrimination reached up to 7-10 mm （average 8.5 mm） via nerve suture in the patients with the flap located at the palm side.There were 13 cases of donor site sutured directly and 5 cases of skin-graft repair,with stage I healing for all.Scar hyperplasia was not obvious.The function of the injured finger was good.Conclusion The dorsal metacarpal artery skin flap is a convenient method for cutting and collecting,with reliable blood supply and undamaged main vessel,which is a favorable method for the repair of finger soft tissue defects.
出处
《中国当代医药》
2017年第7期109-111,共3页
China Modern Medicine
关键词
掌背动脉
外科皮瓣
手指
软组织缺损
显微外科手术
Dorsal metacarpal artery
Surgical skin flap
Fingers
Soft tissue defect
Microscopic surgery
