逆行掌背动脉穿支岛状皮瓣修复指背中近节骨关节外露创面  

Reverse Dorsal Metacarpal Artery PerforatorIsland Flap was Used to Repair the Wound of Middle and Proximal Dorsal Phalanx with Bone and Joint Exposure

作　　者：王会军 步晓惠 鲁冰 齐荣荣 向莉 蒋永能 李耀 李建廷 WANG Hujun;BUXiaohui;LU Bing;QI Rongrong;XIANG Li;JIANG Yongneng;LI Yao;LI Jianting(Department of Burn and Plastic Surgery,Karamay 834000,Xinjiang,China;Xinjiang Clinical Research Center for Precision Medicine of Digestive System Tumor,Karamay 834000,Xinjiang,China;Xinjiang Key Laboratory of Clinical Genetic Testing and Biomedical Information,Xinjiang Karamay Central Hosptital,Karamay 834000,Xinjiang,China)

机构地区：[1]新疆克拉玛依中心医院烧伤整形科,新疆克拉玛依834000 [2]新疆克拉玛依中心医院新疆消化系统肿瘤精准医疗临床医学研究中心,新疆克拉玛依834000 [3]新疆克拉玛依中心医院新疆临床基因检测与生物医学信息重点实验室,新疆克拉玛依834000

出　　处：《中国美容医学》2024年第5期24-26,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究逆行掌背动脉穿支岛状皮瓣修复指背中近节骨关节外露创面的疗效。方法:2016年1月-2021年12月,笔者科室应用逆行掌背动脉穿支岛状皮瓣修复手指指背中近节骨关节外露创面25例。其中,男18例,女7例;年龄15~52岁,平均年龄32岁;致伤原因中重物砸伤13例,机器挤伤10例,电击伤2例;损伤部位中环指9例,小指7例,中指6例,食指3例,创面大小2 cm×3 cm~3 cm×5 cm。结果:本组中24例患者皮瓣全部成活良好,1例皮瓣远端发紫,经换药,创面愈合,未影响手术效果。随访3~12个月,皮瓣血运、质地、外形及功能良好。结论:采用逆行掌背动脉穿支岛状皮瓣修复指背中近节骨关节外露创面,手术创伤较小,操作相对简单,不需要二期手术,能够满足对手的功能与外形的修复,适合基层医院开展。Objective To explore the curative effect of reverse dorsal metacarpal artery perforator island flap in repairing wounds of middle and proximal dorsal phalanx with bone and joint exposure.Methods From January 2016 to December 2021,reverse dorsal metacarpal artery perforator island flap was used to repair 25 cases of wounds with bone and joint exposure in the middle and proximal dorsal phalanx of fingers in author's department.There were 18 males and 7 females.The age ranged from 15 to 52 years(mean,32 years).The causes of injury included heavy object injury in 13 cases,machine crush injury in 10 cases,and electric injury in 2 cases.The injury site was middle and ring finger in 9 cases,little finger in 7 cases,middle finger in 6 cases,and index finger in 3 cases.The wound size ranged from 2 cmx3 cm to 3 cmx5 cm.Results All the 24 flaps in this group survived well,and the distal end of one fap turned purple.After dressing change,the wound healed and the operation effect was not affected.During follow-up of 3 to 12 months,the blood supply,texture,shape,and function of the flaps were good.Conclusion The exposed wounds of the middle and proximal phalangeal joints of the fingertip can be repaired with the retrograde island flap of the distal perforator branch of the back of the hand.The surgical trauma is small,the operation is relatively simple,and the second stage operation is not required.It can meet the requirements of the repair of the function and shape of the opponent.It is suitable for primary hospitals.

关 键 词：手指 骨关节外露创面 掌背动脉穿支皮瓣 修复 

分 类 号：R622.9[医药卫生—整形外科]