拇指尺背侧皮神经营养血管皮瓣修复拇指C形缺损  

Repair of C-shaped Defect of Thumb with Dorsoulnar Neurocutaneous Vascular Flap of Thumb

作　　者：石定 刘宗义[1] 荣向科[1] 宋永斌 马芮 徐春娟[1] 赵琳[1] SHI Ding;LIU Zongyi;RONG Xiangke;SONG Yongbin;MA Rui;Xu Chunjuan;ZHAO Lin(Department of Burns and Plastic Surgery,the No.987 Hospital of PLA Joint Logistic Support Force,Baoji 721004,Shaanxi,China)

机构地区：[1]中国人民解放军联勤保障部队第九八七医院烧伤整形科,陕西宝鸡721004

出　　处：《中国美容医学》2024年第5期18-20,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨拇指尺背侧皮神经营养血管皮瓣修复拇指C形缺损的方法及临床效果。方法:2017年12月-2021年7月,笔者科室采用拇指尺背侧皮神经营养血管皮瓣修复拇指C形缺损患者6例,缺损面积为1.6 cm×2.8 cm~3.5 cm×4.5 cm,缺损范围均大于拇指周径的1/2,不超过3/4,皮瓣切取面积为2.0 cm×3.2 cm~4.0 cm×5.0 cm,供区移植全厚皮片。术后通过电话、微信和门诊随访皮瓣外观、感觉及手功能。结果:术后随访时间为3~26个月,平均9.4个月,所有皮瓣全部存活,供、受区均未发生感染,皮瓣外观良好,两点分辨觉8~22 mm。供区植皮均成活良好,2例供区愈合后遗留线性瘢痕。手指功能:优4例,良1例,可1例。结论:拇指尺背侧皮神经营养血管皮瓣修复拇指C形缺损,手术操作简单,成活率高,不损伤主要血管,术后疗效满意。Objective To investigate the method and clinical effect of repairing thumb C-shaped defect with dorsoulnar neurocutaneous vascular flap of thumb.Methods From December 2017 to July 2021,6 patients with thumb C-shaped defect were repaired with dorsoulnar neurocutaneous vascular flap of thumb,and the wound defect was 1.6 cmx2.8 cm-3.5 cmx4.5 cm,the range of the defect was greater than 1/2 of the peripheral diameter of the thumb,not more than 3/4.The cutting area of the flap was 2.0 cmx3.2 cm-4.0 cmx5.0 cm,and the donor area was transplanted with a full-thickness skin graft.The appearance,feeling of the flap and hand function were followed up by telephone,wechat/Interenet and outpatient service.Results The follow-up time ranged from 3 to 26 months,with an average of 9.4 months.All flaps survived without infection in donor and recipient areas.The appearance of the flap was good,and the two-point resolution was 8-22 mm.The grafts survived well,and 2 cases left linear scars after donor site healing.Finger function:excellent in 4 cases,good in 1 case and fair in 1 case.Conclusion The repair of C-shaped defect of thumb with dorsoulnar neurocutaneous vascular flap of thumb is simple in operation,high in survival rate,does not damage the main blood vessels,and has a satisfactory postoperative effect.

关 键 词：拇指 皮神经 皮瓣 软组织缺损 修复 

分 类 号：R622[医药卫生—整形外科]