近节指掌侧固有动脉背侧支皮瓣修复小儿手指中节皮肤缺损  

Designing a dorsal branches flap of the proper palmar digital artery to repair pediatric middle-phalanx skin defects

作　　者：杨焕友[1] 李颖[1] 王斌[1] 李瑞国[1] 刘志旺[1] 张会文[1] 

机构地区：[1]唐山市第二医院于一科,河北省唐山市063000

出　　处：《中华显微外科杂志》2016年第4期330-333,共4页Chinese Journal of Microsurgery

摘　　要：目的 探讨近节指掌侧固有动脉背侧支皮瓣修复1bJL中节皮肤缺损的方法与疗效。方法2013年10月至2015年3月，对9例小儿中节皮肤缺损的患者采用近节指掌侧固有动脉背侧支为蒂的逆行皮瓣进行修复，皮瓣携带指神经背侧支与中节创面指固有神经缝合，皮瓣切取面积为3．5cm×1．2cm～2．5cm×0．8cm，皮瓣供区取全厚皮片植皮修复。结果9例皮瓣顺利成活，供、受区伤口均I期愈合。术后随访6～12个月，平均8个月。皮瓣质地柔软、外形饱满，皮瓣两点辨别觉为5～9mm，平均6．5mm结论采用缝合指神经背侧支的近节指掌侧固有动脉背侧支为蒂的逆行皮瓣修复中节皮肤缺损，手术操作简单，皮瓣成活率高，术后皮瓣外观及感觉恢复较好，是一种较好的手术方法。Objective To discuss a design of flap of dorsal branches of the digital proper artery to repair pediatric middle phalanx skin defects and its effect. Methods From October, 2013 to March, 2015, antegrade flaps were used to treat 9 pediatric patients with skin defect in middle phalanx, the dorsal branches of the digital proper artery were used as the pedicel. The dorsal branch of digital proper nerve carried by flap was sutured with digital proper nerve in wound surface of middle phalanx, flap cutting area was 3.5 cm × 1.2 cm - 2.5 cm×0.8 cm, the donor site of flap was repaired by full thickness skin graft. Results All the 9 flaps survived, and primary healing in the wound of donor and recipient site. The 9 patients were followed up for 6-12 months, with an average of 8 months. All the flaps had soft texture and full shape, the two-point discrimination was 5-9mm, 6.5 mm on average. Conclusion To repair skin defect in the middle phalanx with flap using the dorsal branches of the digital proper artery as the pedicel and sutured the dorsal branch of digital proper nerve, combine advantages of the simplicity, high skin flap survival rate, good postoperative appearance and sensation recovery.

关 键 词：指掌侧固有动脉 背侧支 指皮肤缺损 小儿 外科皮瓣 显微外科手术 

分 类 号：R726.5[医药卫生—儿科]