摘要
目的报道应用T形掌背动脉皮瓣逆行转移修复手指环形软组织缺损临床效果。方法在掌背部设计长轴与掌背动脉平行的纵行掌背皮瓣，在掌背皮瓣的近端设计一与之相联的横行掌背皮瓣，皮瓣整体上呈“T”型。纵行掌背皮瓣的长度相当于掌指关节至手指环形创面的长度，横行掌背皮瓣的长度，略长于手指环形创面的长度。以指蹼动脉为蒂，旋转轴点在掌指关节平面，皮瓣逆行转移至手指，横行掌背皮瓣部分修复手指环形创面，纵行掌背皮瓣部分相当于横行掌背皮瓣的蒂部。结果临床应用6例，皮瓣均成活。术后随访6～12个月，皮瓣质量佳。结论T形掌背动脉皮瓣是修复手指环形创面的可行方法之一。
Objective To introduce the anatomy and clinical application of the T shape flap based dorsal metacarpal artery cutaneous branch to repair the ring form tissue defect of fingers. Methods Designed a longitudinal dorsal metacarpal flap parallel with the dorsal metacarpal artery, and a transverse dorsal metacarpal flap which join the proximal part of the longitudinal flap. The length of the longitudinal flap correspend the distance from MP joint to finger wound ,the length of transverse flap was a little longer than the ring form wound. The T shape flap pedicled by the fingerweb artery, and the rotation axis at the MP joint plane. Use the transverse flap to repair the ring form wound, and the longitudinal flap as the pedicle of transverse flap. Results All the 6 cases of flap were survived, fingers had good functional recovery with 6- 12 months follow up. Conclusion Use T shape flap based dorsal metacarpal artery cutaneous branch to repair the ring form tissue defect of finger is reliable.
出处
《中华显微外科杂志》
CSCD
北大核心
2008年第1期12-14,80,共4页
Chinese Journal of Microsurgery
关键词
手
掌背动脉
外科皮瓣
移植
Hand
Dorsal metacarpal artery
Surgical flap
Transplantation
