游离指固有动脉背侧支皮瓣修复指腹缺损.pdfVIP

生堡至之E塾茎查垫!Q玺§旦箜堑鲞筮垒翅逝!』鼬d她：叁驶壁垫!Q：型：堑：№：璺 ·205· ·皮瓣· 游离指固有动脉背侧支皮瓣修复指腹缺损 金光哲 巨积辉李雷周荣侯瑞兴 【摘要】 目的报告应用指固有动脉背侧支皮瓣游离移植修复指腹缺损的手术方法和临床效 果。方法对6例6指指腹缺损的患者，采用指固有动脉背侧支皮瓣游离移植修复，皮瓣切取面积 为1．0咖×1．0锄．2．0彻×2．5伽，供区为患指或邻指的近节桡背或尺背侧，供区全部采用全厚皮 片植皮。结果术后6例皮瓣全部存活，随访时间6一18个月，平均12个月，皮瓣质地、外形满意， 手指功能恢复优良，远指间关节活动度为00。600，皮瓣两点分辨觉为6．II咖。皮瓣供区刨面I期 愈合，远期随访植皮区耐磨，元破溃发生，供区指体活动未受影响。结论应用游离指固有动脉背 侧支皮瓣修复指腹缺损，手术操作相对简单，修复后指腹饱满、外形逼真并具有感觉，是一种理想的 手术方法。 【关键词】外科皮瓣； 指损伤； 指固有动脉背侧支 dorsal Itepoirof姆pIllpdefect璐吨free喇arteryh锄曲flapJflV咖如，彤肛hui，z， 3uzhou215104．China Correspondngauthor：HOURd-五ng，Emad：衲2例6@2留．删 Toint妇the of dorsalbranch 【Abstract】ObjectivetechriquesllsiJlgflee酬artery flapto啦 die MethodsFree dorsal was evaluateclinicaloutcomes． branch 五rl商盯pulpdefect，and digitalartery flap uanffened d舨in from1．0锄×1．0锄 to咒palrfingerpulp 6蛳0f6叫em8．1he删0f峰ranged 协2．0锄×2．5锄．Tlledomrsiteswered叫∞mdialor oftIle ofllle d0IsI叫lrIar罄pectproximalphalanxinj啪d fingerorⅡ砖砌a嘣吐6n自er．TIledoflora舢werecoveredwitIlf讧U．111ick】fIessskin础．ResultsAll6naDs survived fromto an of12months．11le periodranged6 18months。withaverage postoperatively．Follow-up textureand ofthe were fuIl州on WaS 00to600 of appemmlceflaps satisfactory．Fingerrecoverygood，with l-linge of ll motionthedhtal discriminationofthe was6to mm．Primary interphalangealioira．Two-point flaps healing 惴achievedinthedonorareal showedthe wa8 wound．1棚}咖followup that skin豳we他wearable．There m themovclnentofthe wa8not