尺动脉腕上支皮瓣游离移植修复手指皮肤缺损  

Dorsal carpal branch of ulnar artery flap graft to repair the skin defect of the finger

作　　者：吴耿[1] 邓雪峰[1] 关助明[1] 黄定根[1] 林利忠[1] 李岩松[1] 陈飞强[1] 

机构地区：[1]广东医学院附属深圳观澜人民医院创伤骨科,广东深圳518110

出　　处：《中国伤残医学》2014年第14期7-9,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨应用尺动脉腕上支皮瓣游离移植修复手指皮肤缺损的临床疗效。方法：对10例手指皮肤缺损的创面，应用尺动脉掌浅支游离皮瓣修复，皮瓣大小1．6cmx2．5cm∽3．0cmx4．5cm。结果：10例皮瓣存活好，其中1例皮瓣术后出现血管痉挛，血管解痉后存活，10例获随访1个月∽1年，其中10例皮瓣外形满意、质地色泽好、两点辨别觉6∽9 mm、患指活动功能良好。结论：尺动脉腕上支皮瓣游离移植修复手指皮肤缺损可获得良好的临床疗效，是修复手指皮肤缺损的一种理想皮瓣。Objective：To investigate the clinical effect about the dorsal carpal branch of ulnar artery flap graft to repair the skin defect of the finger.Methods：The wound of 10 cases of finger skin defect , application of the dorsal carpal branch of ulnar artery free flap , flap size 1. 6cmx2.5cm-3.0cmx4.5cm.Results 10 flaps survived well , including 1 cases of vasospasm after flap operation , vasospasm was released , and the skin flap survival ,10 cases were followed up from 1 month to 1 year, including 10 cases of flap satisfied appearance , texture and col-our, and two-point discrimination was 6 ~9mm, with good function.Conclusion：he dorsal carpal branch of ulnar artery flap to repair the skin defect of the finger could obtain good clinical curative effect , might be an ideal flap to repair the skin defect of the finger .

关 键 词：手指皮肤缺损 游离皮瓣 移植 显微外科 

分 类 号：R658.1[医药卫生—外科学]