以骨间背动脉为蒂的双叶皮瓣修复手部皮肤缺损  

Application of bilobed flap pedicled with interosseous dorsal artery in the repair of hand skin defects

作　　者：刘新益[1] 巨积辉[1] 蒋国栋[1] 钟鸣 LIU Xin-yi;JU Ji-hui;JIANG Guo-dong;ZHONG Ming(Department of Hand Surgery,Ruihua Affiliated Hospital of Soochow University,Suzhou 215104,China)

机构地区：[1]苏州大学附属瑞华医院手外科,江苏苏州215104

出　　处：《中国美容整形外科杂志》2021年第7期385-387,共3页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：江苏省青年医学重点人才项目(QNRC2016224)。

摘　　要：目的探讨以骨间背动脉为蒂的双叶皮瓣修复手部软组织缺损的方法。方法自2017年5月至2019年8月,苏州大学附属瑞华医院手外科根据骨间背动脉肌间隙穿支血管分布、走行的解剖特点,设计以骨间背动脉为蒂的双叶皮瓣修复手部软组织缺损患者8例,皮瓣切取面积为4.5 cm×3.5 cm~5.5 cm×4.0 cm。结果本组8例患者皮瓣均顺利成活,未出现血管危象,拆除缝线后辅以压力套治疗。随访6~14个月,皮瓣略有色素沉着,外形无明显臃肿,供区瘢痕不明显。结论以骨间背动脉为蒂的双叶皮瓣修复手部软组织缺损是一种较理想的手术方法。Objective To explore the method of bilobed flap pedicled with interosseous dorsal artery in the repair of hand soft tissue defects.Methods From May 2017 to August 2019,8 patients with hand soft tissue defects were repaired by bilobed flap pedicled with interosseous dorsal artery.According to the anatomic characteristics of distribution and course of the perforator vessels,the area of flaps ranged from 5.5 cm×4.0 cm to 4.5 cm×3.5 cm.Results All flaps survived successfully without vascular crisis.After sutures were removed,the pressure cuff treatment was performed.The follow-up ranged from 6 to 14 months.Slight pigmentation was found in flap.There were no obvious swelling appearance and scar in donor site.Conclusion The bilobed flap pedicled with interosseous dorsal artery is an ideal method to repair hand skin defects.

关 键 词：手部皮肤缺损 骨间背动脉 皮瓣 显微外科技术 

分 类 号：R658.2[医药卫生—外科学]