指固有动脉神经逆行岛状皮瓣修复指端软组织缺损  

Repair of The Fingertip Soft Tissue Defect with Neurocutaneous Concomitant Artery Pedicle Island Flap

作　　者：石强[1] 张英[2] 

机构地区：[1]沈阳医学院附属中心医院手外科,辽宁沈阳110024 [2]沈阳市242医院外二科

出　　处：《沈阳医学院学报》2003年第1期28-28,34,共2页Journal of Shenyang Medical College

摘　　要：目的 :应用手部指动脉神经岛状皮瓣修复手指指端软组织缺损。方法 :按Litter法 ,在手指残端设计皮瓣 ,分离血管神经蒂 ,以增加皮瓣推进距离 ,用于修复手指指端软组织缺损 ,自 2 0 0 0年以来 ,应用 45例 ,指端创面长度 1.5～ 2 .4cm。结果 :45例全部成活 ,效果满意。结论 :该类皮瓣血供可靠 ,创伤小 ,操作简单 。Objective: To introduce the clinical application of hand neurocutaneous concomitant artery pedicle island flap to repair the fingertip soft tissue defect. Methods: According to Lither's method, a palmar advancement island flap was designed near the fingtip wounds and the neurovascalar pedicle was dissected. So the distance of advancement was increased, and the flap was suitable for reconstruction of fingertip defects that were not longer than 2.4 cm. The flap were used to 45 cases of fingertip defect with the length from 1.5 to 2.4 cm since 2000. Result: All the flap survived with satisfactory senery restoration. Conclusion: These flaps, which can be made easily with minor injury to hand, are especially useful in the primary repair of soft tissue defect in the dorsal aspect of the fingers.

关 键 词：外科皮瓣 手 创伤和损伤 

分 类 号：R658.1[医药卫生—外科学]