摘要
目的介绍一种拇指末节指端缺损修复的改进方法。方法应用拇指尺背侧皮神经营养血管远端蒂皮瓣转移修复拇指末节指端缺损患者19例，并应用静脉吻合，改善皮瓣的静脉回流，同时行皮神经缝合重建皮瓣感觉。结果术后皮瓣全部存活，随访6—24个月，拇指外形和功能满意。结论拇指尺背侧皮神经营养血管远端蒂皮瓣是修复拇指末节指端缺损的较好方法之一。
Objective To introdce an improved method of fingertip reconstruction of the thumb. Methods The reversed ulnodorsal neurocutaneous vascular flap was transferred to cover fingertip defects of the thumb in 19 eases. Nerve and venous anastomosis was done to improve blood drainage and to restore sensation of the flaps. Results All 19 flaps survived. Postoperative follow-up of 6 to 24 months showed satisfactory appearance and good function of the thumbs. Conclusion Transfer of reversed ulnodorsal neurocutaneous vascular flap with nerve and venous anastomosis is an optimal choice in the treatment of finger pulp defects of the thumb.
出处
《中华手外科杂志》
CSCD
北大核心
2012年第6期364-365,共2页
Chinese Journal of Hand Surgery
关键词
拇指
外科皮瓣
移植
Thumb
Surgical flaps
Transplantation
