指动脉背侧穿支推进皮瓣修复手指背侧缺损  

Digital artery dorsal branch advancement flap to repair the finger dorsal defect

作　　者：许明 张建超 邹艳 钟贤 钱源源 李东 戴平 XU Ming;ZHANG Jianchao;ZOU Yan;ZHONG Xian;QIAN Yuanyuan;LI Dong;DAI Ping(Department of Plastic Surgery,Soochow University Affiliated Changshu Hospital,Changshu No.1 People＇s Hospital,Changshu 215500,Jiangsu,China)

机构地区：[1]苏州大学附属常熟医院常熟市第一人民医院整形外科,江苏常熟215500

出　　处：《中华骨与关节外科杂志》2018年第10期780-782,共3页Chinese Journal of Bone and Joint Surgery

摘　　要：背景:手指背侧缺损为手外伤中较常见损伤之一,修复方法较多,但均存在不足。目的:探讨指动脉背侧穿支推进皮瓣修复手指背侧缺损的临床效果。方法:收集2011年1月至2016年6月应用指动脉背侧穿支推进皮瓣修复手指背侧缺损的13例患者,缺损面积:0.8 cm×1.2 cm至1.0 cm×1.5 cm。切取皮瓣面积:0.9 cm×1.3 cm至1.1 cm×1.6 cm。结果:13例13指皮瓣全部存活。术后随访3～12个月,平均6.3个月。患指皮瓣血液循环良好,两点辨别觉8～12 mm,指间关节主、被动活动正常。结论:指动脉背侧穿支推进皮瓣修复手指背侧缺损手术操作简单、风险小,且感觉、外观恢复良好,效果满意。Background： Finge dorsal defect is one of the common injuries in hand trauma. There are many repair methods,but all had limitation. Objective： To analyze the outcome of digital artery dorsal branch advancement flap in the repair of finger dorsal defect. Methods： From January 2011 to June 2016, 13 cases of finger dorsal defect were repaired by digital artery dorsal branch advancement flap. The size of the defects ranged from 0.8 cm×1.2 cm to 1.0 cm×1.5 cm. The skin flaps measured from 0.9 cm×1.3 cm to 1.1 cm×1.6 cm. Results： All flaps were survival. Follow-up period ranged from 3 to 12 months（mean, 6.3 months）. All flaps had good circulation, good texture, good shape and color match. Two point discrimination was 8-12 mm. Conclusions： It is an ideal flap for reparing finger dorsal defect with high survival rate, good function recovery, and satisfactory appearance.

关 键 词：手损伤 指动脉背侧穿支 推进皮瓣 修复 

分 类 号：R658.2[医药卫生—外科学]