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作 者:周飞亚[1] 高伟阳[1] 吴剑彬[1] 蒋良福[1] 杨景全[1] 丁健[1] 褚庭纲[1]
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》2017年第5期364-366,共3页Chinese Journal of Hand Surgery
摘 要:目的讨论以血管神经蒂V-Y皮瓣修复手指末节Ⅱ区皮肤缺损的操作方法、治疗效果及临床意义。方法自2014年5月至2016年8月,以血管神经蒂V—Y皮瓣修复12例12手指末节Ⅱ区皮肤缺损,患者均伴有肌腱或骨骼外露以及甲基质残留。切取皮瓣面积2.0cm×2.0cm-2.0cm×2.5cm,皮瓣供区直接缝合。结果术后12例12手指移植皮瓣完全存活。随访10例10指,失访2例。随访时间6—12个月,术后皮瓣外观满意,两点分辨觉为4-6mm。结论血管神经蒂V-Y皮瓣修复伴有肌腱骨骼外露手指末节Ⅱ区皮肤缺损是简单可靠的方法,能兼顾耐用性、外观及感觉恢复,且不产生供区伤害。具有良好的安全性和普及性。Objective To discuss the operation method, treatment effect and clinical significance of neurovascular pedicle V-Y flap for repair of distal finger soft tissue defect in Ⅱ area. Methods From May 2014 to August 2016, 12 cases (12 fingers) of distal finger soft tissue defect in Ⅱ area were treated with neurovascular pedicle V-Y flap. All the wounds were accompanied by tendon or bone exposure and onychostroma residual. The flap area ranged from 2.0 cm×2.0 cm to 2.0 cm×2.5 cm. The donor site was closed directly. Results All the 12 flaps of 12 fingers survived uneventfully. Ten cases were followup for 6 to 12 months, and 2 cases were lost. Postoperatively the flaps had satisfactory appearance with the two-point discrimination ranging from 4 to 6 ram. Conclusion The neurovascular pedicle V-Y flap is a reliable and safe way to cover the distal finger soft tissue defect in Ⅱ area with tendon or bone exposure, which has the advantages of durability, safety and popularity due to the appearance and sensory recovery and no damage to donor sites.
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