摘要
目的 探讨一种新的筋膜蒂岛状皮瓣修复指腹皮肤软组织缺损的有效方法。方法 于指背形成筋膜蒂岛状皮瓣并移转至指腹创面。结果 临床已应用 6例 ,皮瓣全部成活。结论 指背筋膜蒂岛状皮瓣可以安全。
Objective\ To evaluate a new fasciocutaneous island flap for the repair of volar skin defects of the same finger. Methods\ A fasciocutaneous island flap, 0.5 cm distal to the volar skin defect, was formed on the dorsal side of the same finger. The proximal fascial pedicle was dissected long enough so that the flap could be transposed to the volar wound freely. One dorsal vein was kept undisturbed to safeguard the venous drainage of the distal part of the finger. When the side of the flap was so big that bilateral dorsal veins were included within the flap, the non pedicle side of the flap was elevated first superior to the fascia until the dorsal vein was excluded from the flap, and the rest of the flap was dissected deep to the fascia. The donor side of the flap was covered with split skin graft. Results\ Six cases were treated. All flaps survived well. Conclusion\ The dorsal fasciocutaneous island flap of the finger can be used safely for the repair of volar skin defect of the same finger.\;
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2002年第3期151-152,共2页
Chinese Journal of Plastic Surgery