足背串联皮瓣修复手部两处皮肤软组织缺损  

Application dorsalis pedis flap to repair the hands of series 2 of skin and soft tissue defect

作　　者：巨积辉[1] 赵强[1] 刘跃飞[1] 魏诚[1] 李雷[1] 金光哲[1] 李建宁[1] 刘新益[1] 邹国平[1] 侯瑞兴[1] 

机构地区：[1]苏州大学附属瑞华医院手外科,江苏省苏州市 215104

出　　处：《中华显微外科杂志》2010年第6期441-443,530,共4页Chinese Journal of Microsurgery

摘　　要：目的探讨应用游离足背串联皮瓣修复手部两处皮肤软组织缺损的临床效果。方法2003年2月至2009年2月，采用游离足背串联皮瓣修复手部两处皮肤软组织缺损11例。其中手掌2处皮肤软组织缺损3例，手背2处皮肤软组织缺损4例，手背皮肤软组织缺损伴中指近节掌侧皮肤软组织缺损l例，手部洞穿伤致手背、手掌洞穿性皮肤软组织缺损3例，切取皮瓣面积：近端皮瓣3omx3cm～8emX7cm，远端皮瓣4CIFIX2cm～6CInX5cm。足部供区采用全厚皮片植皮。结果术后所有皮瓣均一期成活，伤口甲级愈合，足部供区植皮均顺利成活。10例获随访6～19个月．平均随访9个月。随访皮瓣质地优良，外观自然、不臃肿，感觉恢复S2～S3，手部功能恢复满意，足部供区愈合良好，无破溃及溃疡形成，行走功能无影响。结论应用足背串联皮瓣修复手部两处皮肤软组织缺损，具有皮瓣设计灵活、质地优良等优点，是修复手部两处皮肤软组织缺损的较好方法。Objective To evaluate the clinical effects of free dorsalis pedis flap on the repair of two skin and soft tissue defects in hand. Methods From February 2003 to February 2009, free dorsalis pedis flap was used to repair two skin and soft tissue defects in 11 patients. Six cases were males and 5 females. Two was used the hand skin and soft tissue defects in 4 eases, back of the band skin and soft tissue defect with the middle finger proximal palmar skin and soft tissue defect in 1 case, the hand ripped through injury to the back of the hand of the hand ripped through skin and soft tissue defects in 3 cases, were cut flap： proximal flap 3 cmx 3 cm-8 cm x 7 era, distal flap 4 cmx 2 cm-6 cm x 5 cm. Foot for the area will adopt the lower abdominal full-thickness skin grafting. Results Uniform flap survival period of the wound healing class, foot skin graft donor sites were successfully survived. Ten patients were followed up from 6 to 19 months, with an average follow-up of 9 months. Follow-up flap fine texture, appearance of natural, nobloated, feeling to restore S2-S3, hand function recovered satisfactorily, for the district of foot healed well without ulceration and ulcer formation, had no effect on walking function. Conclusion The dorsalis pedis flap for hand two series of skin and soft tissue defects, with design flexibility, excellent texture flaps,etc., is to repair the hand skin and soft tissue defects of the two better way.

关 键 词：手 足背皮瓣 移植 显微外科 

分 类 号：R686[医药卫生—骨科学]