摘要
目的:探讨指固有动脉终末背侧支逆行岛状皮瓣在临床中的治疗效果。方法:临床应用指固有动脉终末背侧支岛状皮瓣逆行转移或结合其它皮瓣修复手指远端软组织缺损21例25指。结果:术后19指皮瓣顺利成活;4指皮瓣部分坏死,经换药后创面愈合;2指皮瓣完全坏死,改行其它皮瓣修复。平均随访13个月,术后功能及外形均较满意。结论:指固有动脉终末背侧支逆行岛状皮瓣不牺牲手指知名血管且术后可带有感觉,是修复同指或邻指指端软组织缺损指骨外露一种有效可行的手术方法。
Objective：To explore the clinical effect on the end dorsal branch artery island flap to treat the soft tissue defects of distal phalanx. Methods ：The end dorsal arterybranch retrograde island flaps were transferred or combined with other flaps totreat the soft tissue defects in 25 distal phalanxes. Results：19 flaps of fingers survived well;3 flaps necrosed partly,the wound healed by changing the dressing;2 flaps necrosed completely,then other flaps were choosed to treat the defects. The flaps were followed up for the average of 13 months,and the contour and function of the injured digits were satisfied. Conclusion：The end dorsal branch digital artery island flap which reserve fingers’main blood vessel can be used to repair the soft tissue defects of distal phalanx,so we think the flap is a good donor for the injuries of distal phalanx.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2010年第10期1545-1546,共2页
Journal of Chongqing Medical University
关键词
指端缺损
皮瓣
指固有动脉终末背侧支
脱套伤
Fingertip defect flap
Finger arteryend dorsal branch
Deglovinginjury
