改良单侧血管神经蒂V-Y皮瓣修复末节指腹皮肤缺损  

Clinical appfication of modified unilateral neurovascular V-Y flap for repair of skin defects in volar distal fingers

作　　者：周飞亚[1] 吴剑彬[1] 张弦[1] 高伟阳[1] 宋永焕[1] 杨景全[1] 丁健[1] 褚庭纲[1] Zhou Feiya;Wu Jianbin;Zhang Xian;Gao Weiyang;Song Yonghuan;Yang Jingquan;Ding Jian;Chu Tinggang(Department of Hand Surgery,the Second Affiliated Hospital of Wenzhou Medical University,Zhejiang 325027,China)

机构地区：[1]温州医科大学附属第二医院手外科,浙江325027

出　　处：《中华手外科杂志》2018年第6期410-412,共3页Chinese Journal of Hand Surgery

摘　　要：目的 探讨改良单侧血管神经蒂V-Y皮瓣修复末节指腹皮肤缺损的手术方法、治疗效果及临床意义。方法 自2016年5月至2017年8月,我们采用血管神经蒂V-Y皮瓣修复末节指腹皮肤缺损28例30指,所有患者均为末节指腹皮肤缺损并伴肌腱或骨外露。皮肤缺损面积为1.5~2.0cm^2。供区直接拉拢缝合。结果 术后28例30指皮瓣完全存活,均获得随访,时间为6~12个月,平均9个月。术后皮瓣外观满意,两点分辨觉恢复至4-6mm。结论 改良单侧血管神经蒂V-Y皮瓣修复末节指腹皮肤缺损简单可靠,覆盖创面的同时能一期恢复指腹的外观和感觉。Objective To discuss the surgical method,treatment outcome and clinical significance of modified unilateral neurovascular V-Y flap for repair of skin defects in volar distal fingers.Methods From May2016to August2017,28cases(30fingers)with skin defects in volar distal fingers were treated by modified unilateral neurovascular V-Y flap.The size of skin defects ranged from1.5to2.0cm^2.The donor sites were closed straightly.Results AU the flaps survived uneventfully.All the patients were follow-up for6to12months with an average of9months.The appearance of the flap was satisfactory and the two-point discrimination was4to6mm.Conclusion It is simple and reliable to repair the skin defects in volar distal fingers using modified unilateral neurovascular V-Y flap.While covering the wound,it can restore the appearance and sensation of the pulp at the same time.

关 键 词：指损伤 外科皮瓣 皮肤缺损 神经血管蒂 

分 类 号：R658.2[医药卫生—外科学]