摘要
目的:探讨切取掌背皮瓣的改进方法及其临床应用效果方法:复习相关掌背动脉解剖学研究成果,改进掌背动脉逆行岛状皮瓣的切取方法,以背侧指蹼中点和两掌骨基底部汇合点连线设计为轴线,距指蹼缘近侧约1.5cm为旋转点,在深筋膜下、伸肌腱腱膜浅层解剖皮瓣,保留掌背动脉远端皮支,临床分别应用修复12例食、中、环、小指中、近节皮肤软组织缺损。结果:12例皮瓣全部成活,1例皮瓣术后远端出现张力性水疱,皮瓣远端部分表皮坏死,后创面经换药后愈合。术后随访3～6个月,皮瓣质地、外观满意,手背部外形功能良好。结论:自深筋膜下、指伸腱膜浅面解剖皮瓣,保留掌背动脉远端皮支的掌背动脉逆行岛状皮瓣手术方法操作简便,对供区损伤小,应用于修复手指近、中节皮肤软组织软缺损创面临床效果好。
Objective To approach the operative methods and clical effect for modified retroversal island flap based on dorsal metacarpal artery. Methods Reviewing the achieved anatomy of anatomy dorsal metacarpal arteries,the modified retroversal island flap based on dorsal metacarpal artery were been dissected under the deep fascia,but on the aponeurosis of extensor tendon in order to remaining the distal end cutaneous branches of dorsal metacarpal arteries,which was been applied to recovery 12 case of soft tissue defect of fingers was been dissected under the deep fascia,but on the aponeurosis of extensor tendon in order to remaining the distal end cutaneous branches of dorsal metacarpal arteries. Results All the flaps survived with the wound healed except one flap necrosis of terminal edge of flap but healed after treatment.The postoperative following - up examinations was carried out from 3 to 6months.The results were satisfied in all 12 flaps. Conclusions It is a practical method to recover the skin defect of proximal and middle phalanx of finger effectively by using the modified retroversal island flap based on dorsal.
出处
《中国美容医学》
CAS
2009年第3期295-296,共2页
Chinese Journal of Aesthetic Medicine
关键词
掌背动脉
外科皮瓣
手指
软组织缺损
修复
dorsal metacarpal arteries
surgery flap
fingers
soft tissue defect
recovery
