加强吻合伴行静脉的桡动脉掌浅支皮瓣移植修复手指软组织缺损  

Clinincal research for superficial palmar branch of radial artery flaps with anastomosed accompanying vein to treat soft tissues defec

作　　者：毕本军[1] 高飞[1] 王志龙[1] 于胜军[1] Bi Benjun;Gao Fei;Wang Zhiloug;Yu Shengjun.(Department of Hand Surgery, Yantaishan Hospital, Yantai, Shandong Province 264001, China)

机构地区：[1]烟台市烟台山医院手外科,山东省烟台市264001

出　　处：《中华显微外科杂志》2018年第3期220-222,共3页Chinese Journal of Microsurgery

摘　　要：目的探讨加强吻合伴行静脉的桡动脉掌浅支皮瓣移植修复手指软组织缺损的手术方法及疗效。方法2016年1月至2017年6月。对10例手指软组织缺损行桡动脉掌浅支皮瓣修复．术中仔细分离桡动脉掌浅支、伴行静脉及浅静脉，桡动脉掌浅支与指掌侧固有动脉吻合，掌浅支伴行静脉和浅静脉与掌侧静脉吻合．皮瓣神经与指掌侧固有神经缝合。术后随访评定手指活动度及皮瓣两点辨别觉。结果术后随访6．24个月．平均13．8个月．10例皮瓣完全成活．外形满意，两点辨别觉8～12mm。结论加强吻合伴行静脉的桡动脉掌浅支皮瓣移植修复手指软组织缺损．供区及受区损伤小．受区外形及感觉满意．是一种修复手指创面的理想选择。Objective To investigate the clinincal curative effects of superficial palmar branch of radial artery （SPBRA） flaps with anastomosed accompanying vein repairing soft tissues defects in fingers. Methods From January, 2016 to June, 2017, 10 cases with soft tissues defects received the operation of superficial palmar branch of radial artery flaps transplantation. In the process of operation, the superficial palmar branch of radial artery （SPBRA） was carefully separated, accompanying vein and superficial vein. The SPBRA was anastomosed with the proper digital artery, while the accompanying vein of superficial palmar branch and superficial vein were anastomosed with the palm vein. The nerve supplied this flap was anastomosed with the proper digital nerve. Mesured the range of motion and two-points discrimination of fingers with following-up. Regular followed-up was performed after operation. Results All patients were followed-up ranged from 6 to 24 months, averaged of 13.8 months. All flaps survived. The shape of flaps was plump and the two-points discriminations ranged from 8 to 12mm. Conclusion Using SPBRA flaps with anastomosed accompa- nying vein to repair soft tissues defects in fingers, there were minor damage to donor and recipient sites, and the shape and sense of recipient site was perfect. It is a promising treatment choice for patients with soft tissues defects in fingers.

关 键 词：桡动脉掌浅支 外科皮瓣 指 软组织缺损 

分 类 号：R658.2[医药卫生—外科学]