应用尺动脉腕上支穿支皮瓣游离移植修复手部皮肤软组织缺损  

Application of feet wrist branch perforators flap transplantation free repair of hand skin soft tissue defect

作　　者：王威[1] 陈峰[1] 林琅山 赵小伟[1] 

机构地区：[1]深圳市宝安区松岗人民医院手足外科,广东深圳518105

出　　处：《中国现代医生》2014年第18期132-134,共3页China Modern Doctor

基　　金：深圳市医学科研项目(201003380)

摘　　要：目的：探讨尺动脉腕上支穿支皮瓣游离移植修复手部皮肤软组织缺损的疗效。方法对2012年1月-2013年10月我院收治的19例手部皮肤软组织缺损患者行尺动脉腕上支穿支皮瓣游离移植手术，血管采用端端吻合法。结果19例患者术后皮瓣全部存活，经过随访，皮瓣的外形、质地及色泽均满意，手指功能及感觉恢复均满意，两点辨别觉8-17 mm，平均9例两点辨别觉＜10 mm，皮瓣感觉恢复S3级以上，供区感觉对日常工作和生活无影响。手指功能评定标准：优15例，良3例，差1例，优良率94.7%。结论尺动脉腕上支穿支皮瓣游离移植修复手部皮肤软组织缺损效果显著，患者耐受度高，手指感觉及功能恢复良好，不影响手部外观，值得临床推广。Objective To explore feet wrist of artery perforators flap free transplantation repairing skin and soft tissure defect of hands. Methods From January 2012 to October 2013 in our hospital ,selected 19 cases of hand skin soft tis-sue defect in the patients with ulnar artery wrist free perforators flap transplant , blood vessels by end to end anasto-mosis method. Results In 19 patients with postoperative flaps all survived, and after follow-up, the appearance of the skin flap, texture and color are satisfied, finger function and sensation recovery are satisfied, two-point discrimination 8-17 mm,the average 9 points to distinguish sleep 〈10 mm,flap sensation recovery S3 class above,for area feel no ef-fect on daily work and life. Finger function evaluation criteria：15 cases were best,3 cases were better, and 1 case was poor, fine rate was 94.7%. Conclusion Wrist branch perforators flap repair of hand skin soft tissue defect free trans-plantation effect is remarkable,patient tolerance degree is high,the fingers feel and function recovered well,does not affect the hand appearance,worth clinical promotion use.

关 键 词：尺动脉 皮瓣游离 手部皮肤软组织受损 

分 类 号：R658.2[医药卫生—外科学]