摘要
目的探讨手指侧方软组织伴有指固有动脉、神经缺损的修复方法和疗效。方法对8例手指中近节侧方软组织并伴有一侧指固有动脉和神经缺损的患者，应用桥接指动脉神经的游离第二趾胫侧皮瓣修复手指侧方软组织缺损。缺损面积为4．0cm×1.5cm-2．0cm×1．0cm，切取皮瓣面积为4．2cm×1．8锄～2．5cm×1．5cm，指固有动脉、神经缺损1．0—4．0cm，平均2．4cm。结果术后皮瓣全部存活，随访时间为6～36个月，平均15个月。修复指体外形好，指端温暖，无怕冷现象。指体Allen试验阴性，修复侧指端两点分辨觉6—15mm，平均8mm。供区创面愈合好。结论应用桥接指固有动脉、神经的第二趾胫侧皮瓣修复手指侧方软组织缺损，可以较好地恢复手指的外形、血供及感觉，是修复此类损伤较为理想的方法。
Objective To investigate the surgical procedure and treatment outcomes of repairing soft tissue defects of the finger accompanied by proper digital artery and nerve defects. Methods Eight patients with soft tissue defects on the lateral side of the proximal and middle phalanx of the fingers accompanied by proper digital artery and nerve defects were treated by the second toe tibial side skin flap. The defects of the proper digital artery and nerve were bridged at the same time. The sizes of the soft tissue defects varied from 4.0 cm×1.5 cm to 2.0 cm × 1.0 cm. The sizes of skin flaps harvested varied from 4.2 cm × 1.8 cm to 2.5 cm × 1.5 cm. The average length of the proper digital artery and nerve defects was 2.4 em, ranging from 1.0 to 4.0 cm. Reatlts All flaps survived. Pestoperatively the patients were follow-up for 6 to 36 months with an average of 15 months. The contour of the repail＇ed fingers was good. The fingertips were warm, without cold intolerance. The Allen test was negative for all the fingers. 2-PD of the repaired side of the fingertip averaged 8 mm, ranging from 6 to 15 ram. The donor sites healed well. Conclusion It is an ideal method to repair lateral soft tissue defects of the tingers using tibial flap from the second toe with the defects of the proper digital artery and nerve bridged.This method can restore the appearance, blood supply and sensation of the injured finger.
出处
《中华手外科杂志》
CSCD
北大核心
2013年第1期28-30,共3页
Chinese Journal of Hand Surgery
关键词
指损伤
外科皮瓣
移植
趾
Finger injuries
Surgical flaps
Transplantation
Toes
