指动脉皮瓣与超薄腹部皮瓣在末节指再造中的联合应用  

Application of digital artery island flap combined with ultrathin abdominal flap in distal fingers reconstruction surgery

作　　者：梁启善[1] 郭小惠 张咸中[1] 卢冉翔[1] 杨小文[1] 林钦扬[1] 刘明龙[1] 陈景涛[1] 

机构地区：[1]暨南大学医学院附属深圳华侨医院手足显微外科,广东深圳518111 [2]重庆涪陵区郭昌毕骨科医院,重庆408113

出　　处：《实用手外科杂志》2012年第2期109-111,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨指动脉岛状皮瓣与超薄腹部皮瓣在末节指再造中联合应用的临床治疗效果。方法指动脉岛状皮瓣转位置于掌侧，超薄任意腹部皮瓣修复大部分缺损创面，进行末节拇、手指再造10例。结果再造指全部成活，经5～12个月随访，2例需二期整形，再造指腹、指端两点辨别觉6-10mm，外形及功能满意。结论指动脉岛状皮瓣与超薄腹部皮瓣联合应用为末节指再造提供一种较实用的方法。Objective To explore the effect of digital artery island flap combined with ultrathin abdominal flap in distal fingers reconstruction surgery. Methods The digital artery island flap located on the palmar side, ultrathin abdominal flap to repair most wound, for reconstruction of thumb and finger in 10 cases. Results All reconstruction of thumb and finger survived, followed-up ranged from 5 months to 12 months, 2 cases needed two plastic, two-point discrimination was 6-10mm, function and appearance were satisfactory. Conclusion Digital artery island flap combined with ultrathin abdominal flap provides a more practical method for distal fingers reconstruction surgery.

关 键 词：指动脉岛状皮瓣 腹部皮瓣 指再造 

分 类 号：R658.1[医药卫生—外科学]