| 陈杰,李书振,曾文生,等.指侧方动脉皮支逆行皮瓣修复指端缺损.骨科,2015,6(5): 237-239. |
| 指侧方动脉皮支逆行皮瓣修复指端缺损 |
| Repair of fingertip defects using retrograde finger skin flaps of the lateral arterial cutaneous branch |
| 投稿时间：2015-03-12 |
| DOI：10.3969/j.issn.1674-8573.2015.05.005 |
| 中文关键词: 外科皮瓣 指损伤 皮肤移植 治疗结果 |
| 英文关键词: Surgical flaps Finger injuries Skin transplantation Treatment outcome |
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| 中文摘要: |
| 目的 探讨应用指侧方动脉皮支逆行皮瓣修复指端缺损的临床疗效。方法 2010年7月至2014年6月采用指侧方动脉皮支逆行皮瓣修复指端缺损10例（14指），男7例，女3例；年龄17～63岁，平均36岁。示指6例，中指5例，环指3例。创面大小为1.4 cm×1.2 cm～2.5 cm×1.7 cm。受伤至入院时间为0.5～4.0 h，平均2.5 h。切取皮瓣范围为1.7 cm×1.5 cm～2.8 cm×2.0 cm，供区游离植皮修复。末次随访时根据中华医学会手外科学会上肢部分功能评定试用标准评价手指功能。结果 14指皮瓣血运良好，伤口均一期愈合。所有患者均获随访，随访时间6～10个月，平均8个月，皮瓣颜色、质地正常。12指术后3.5个月内两点辨别觉达4～5 mm，末次随访时的手指功能评价结果，优7指，良5指，差2指。结论 应用指侧方动脉皮支逆行皮瓣修复指端缺损，避免了损伤主干血管，皮瓣外观、感觉恢复良好，疗效满意。 |
| 英文摘要: |
| Objective To evaluate the clinical efficacy of retrograde finger skin flaps of the lateral arterial cutaneous branch for repair of fingertip defects. Methods Ten patients (14 fingers; 7 males and 3 females; 17-63 years old, mean 36 years) underwent repair of fingertip defects using retrograde finger skin flaps of the lateral arterial cutaneous branch from Jul. 2010 to Jun. 2014. The 14 fingers included 6 forefingers, 5 middle fingers, and 3 ring fingers. The wound sizes ranged from 1.4 cm×1.2 cm to 2.5 cm×1.7 cm. The time interval from injury to hospitalization was 0.5-4.0 h, with an average of 2.5 h. The flaps ranged from 1.7 cm×1.5 cm to 2.8 cm×2.0 cm, and the donor region was repaired with free skin grafting. Finger function was assessed at the final follow-up according to the trial criteria of upper limb functional evaluation, developed by the Chinese Medical Society of Hand Surgery. Results The blood supplies of the 14 finger flaps were satisfactory, with wounds exhibiting phase I healing. All patients were followed up for 6-10 months, with an average of 8 months, and all the flaps exhibited normal color and texture. Twelve fingers exhibited two-point discrimination at 4-5 mm 3.5 months after surgery. At final follow-up, 7 fingers were judged as excellent, 5 as good, and 2 as poor according to the trial criteria of upper limb functional evaluation, developed by Chinese Medical Society of Hand Surgery. Conclusion The use of retrograde finger skin flaps of the lateral arterial cutaneous branch for repair of fingertip defects can avoid damaging trunk vessels, with good recovery and satisfactory efficacy for flap appearance and sensation. |
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