桥式一蒂多叶串联动脉化静脉皮瓣一次性修复手部多个创面  

Multi-lobulated arterialized venous flaps with single bridge pedicle for one-stage repair of multiple soft tissue defects in the hand

作　　者：李杭[1] 万华[1] 梁智荣 张敬良[1] 谢振荣[1] 

机构地区：[1]广州中医药大学顺德和平外科医院手显微外科临床部,广东顺德528308

出　　处：《中华手外科杂志》2014年第3期198-200,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨桥式一蒂多叶串联动脉化静脉皮瓣一次性修复手部多个皮肤软组织缺损创面的治疗效果。方法切取“Y”型静脉又或“H”型静脉走行所形成的一个可供吻合的血管蒂，携带2．4个串联的桥式动脉化静脉皮瓣，游离移植修复手部多个皮肤软组织缺损创面。结果30例皮瓣全部存活，术后随访6～15个月。手指外观饱满，皮瓣颜色与正常手指相似，质地柔软，皮肤感觉恢复明显，两点分辨觉为7—9mm；供区多为线形瘢痕，功能无影响。结论桥式一蒂多叶串联动脉化静脉皮瓣可一次性修复手部多个皮肤软组织缺损创面，术后疗效满意。Objective To present a method for one-stage repair of multiple soft tissue defects in the hand with multi-lobulated arterialized venous flaps with single bridge pediele. Methods Either ＂Y＂ or ＂H＂ pattern vein modality was harvested to form a vascular pediele for anastomosis. This single pedicle carried a series of 2 to 4 arterialized venous flaps which were transferred to repair the multiple skin defects on one hand. Results Thirty cases with 65 flaps had complete survival of the flaps. Postoperative follow-up ranged from 6 to 15 months. The repaired fingers had good appearance. All the flaps showed excellent color and texture. The sensation of the hands in the eases with nerve repair was restored. The average two-point discrimination was 7 to 9 ram. There was only a linear sear on the donor site. There was no motor function impairment. Conclusion The clinical results are satisfactory for one-stage repair of multiple soft tissue defects in the hand with multilobulated arterialized venous flaps with single bridge pediele.

关 键 词：组织移植 外科皮瓣 桥式 软组织缺损 

分 类 号：R658.2[医药卫生—外科学]