以侧方指端血管网为蒂皮瓣修复指端缺损的临床应用  

Clinical application of lateral flaps pedicled with fingertip vascular network in repairing fingertip defects

作　　者：张治家 崔满意 李德保 沙震兴 Zhang Zhijia;Cui Manyi;Li Debao;Sha Zhenxing(Department of Plastic Surgery,Taixing People′s Hospital,Jiangsu Province,Taixing 225400,China)

机构地区：[1]江苏省泰兴人民院整形外科,225400

出　　处：《中华临床医师杂志（电子版）》2020年第2期116-119,共4页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的探讨手指侧方以指端血管网为蒂的皮瓣修复指端缺损的临床疗效。方法自2013年8月至2015年12月,江苏省泰兴人民院整形外科采用侧方指端血管网为蒂皮瓣修复Yamano分区Ⅰ型指端缺损32例32指,软组织缺损范围:1.5 cm×2.0 cm^2.5 cm×2.5 cm,均有骨外露或指骨末端部分缺损。术后定期随访患指外形、出汗、两点辨别觉及运动功能等。结果 32例皮瓣全部成活。随访1.0~1.5年,患指外形良好,能分泌汗液,两点辨别觉基本正常,运动功能恢复良好。结论侧方指端血管网为蒂皮瓣修复指端缺损存在损伤小,操作简单,术后及远期效果良好,是修复手指指端缺损较为理想的方法。Objective To investigate the clinical effects of lateral fingertip flaps pedicled with fingertip vascular network in repairing fingertip defects. Methods From August 2013 to December 2015, 32 cases(32 fingers) of Yamano zone type I fingertip defects were repaired using lateral fingertip flaps pedicled with fingertip vascular network. The soft tissue defects ranged in size from 1.5 cm×2.0 cm to 2.5 cm×2.5 cm, all of which had bone exposure or partial defect of the fingertip. The shape, sweating, two-point discrimination, and motor function of the affected finger were regularly followed after operation. Results All the 32 flaps survived. During a follow-up period of 1.0-1.5 years, the shape, sweating, two-point discrimination, and motor function of the affected finger recovered well. Conclusion Lateral fingertip flaps pedicled with fingertip vascular network is an ideal method for repair of fingertip defects because of their small trauma, simple operation, and good postoperative and long-term results.

关 键 词：指端缺损伤 外科皮瓣 局部转移皮瓣 指动脉弓 

分 类 号：R658.2[医药卫生—外科学]