游离静脉皮瓣修复断指伴皮肤和指动脉缺损的疗效分析  

The effective analysis of freeing venous flap for repairing amputated finger with skin and digital artery defect

作　　者：何如祥[1] 雷林革[1] 祁多宝[1] 马宝[1] 

机构地区：[1]中国人民解放军第一医院手足外科,甘肃兰州730030

出　　处：《实用手外科杂志》2012年第3期260-262,共3页Journal of Practical Hand Surgery

摘　　要：目的评价应用前臂或足背静脉皮瓣修复断指伴皮肤和指动脉缺损的疗效。方法对13例断指伴掌侧皮肤、动脉缺损的患者行前臂静脉皮瓣移植8例，足背浅静脉皮瓣移植5例，其中带肌腱重建屈指功能3例，均为一期修复。结果13例静脉皮瓣与再植手指全部成活，外形与功能良好。结论静脉皮瓣一期修复再植手指血管与皮肤缺损操作方法可行，对供区损伤小，成活率高，手指外形好，如伴肌腱缺损．可同时重建手指屈伸功能。Objective To evaluate the efficacy of applying forearm or dorsal foot venous flap for repairing amputated finger with skin and finger artery defects. Methods For repairing 13 cases with amputated finger and skin, digital artery defect, we applied vein flaps of forearm in 8 cases, dorsal foot superficial flaps in 5 cases. And reconstructed flexor function with tendon in 3 cases. All cases were repaired in I stage. Results 13 cases of venous flap and replanted fingers all survived, appearance and function were good. Conclusion It is a feasible method that using vein flap for repairing amputated finger with skin and digital artery defect, for its little injury on donor, high survival rate and good shape.

关 键 词：静脉皮瓣 断指再植 皮肤伴指动脉缺损 

分 类 号：R658.2[医药卫生—外科学]