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.
作者
李楚炎
朱小弟
李文庆
张国雷
王文胜
李芳
LI Chu-yan;ZHU Xiao-di;LI Wen-qing;ZHANG Guo-lei;WANG Wen-sheng;LI Fang(Department of Hand-foot&Microsurgery,Nanshan District People's Hospital of Shenzhen,Shenzhen 518052,China)
出处
《中国临床解剖学杂志》
CSCD
北大核心
2019年第2期210-212,共3页
Chinese Journal of Clinical Anatomy
基金
深圳市科技计划项目(JCJY20150402152130174)
关键词
皮支链皮瓣
显微外科
创面修复
指背软组织缺损
Cutaneous branch chain flap
Microsurgical
Wound repair
Dorsal soft tissue defect
