知识与财富的链接
目的 探讨指同有动脉侧方掌侧皮瓣修复指端缺损的临床效果.方法 本文中以指固有动脉在指侧方的走向为皮瓣血管轴,以指固有动脉掌侧分支为皮瓣血管蒂,根据受区的大小,形状在手指掌侧设计皮瓣,皮瓣内只携带指动脉,而将指神经留置原位,皮瓣蒂带5.0～1.0 mm宽筋膜,皮瓣形成后,将手指轻度屈曲推进,修复指端缺损23例,其中示指指端缺损10例,中指指端缺损6例,环指指端缺损4例,末指指端缺损3例.切取皮瓣面积最大为2.5 cm×1.5 cm,最小为1.5 cm×1.0 cm.结果 术后皮瓣轻度肿胀瘀血,但均未出现血管危象,23例皮瓣全部成活,供区创面I期愈合,术后随访6～12个月,伤指术后皮瓣质地、厚度、色泽与受区相似,不臃肿、耐磨,手指伸屈功能满意,外形美观,皮瓣两点分辨觉10-15 mm,感觉良好.结论 该手术操作简单,安全可靠,皮瓣切取后供区损伤小可以直接缝合,手术可在局麻下进行,费用低,有利于广大基层医院推广应用.
Objective To report the clinical effects of the reconstruction for defective fingertip by the proper palmar digital artery flap.Methods Use the lateral direction of the proper palmar digital artery as the flap artery axis and the volaris branches of the proper palmar digital artery as flap artery pedicle.Design the flap on the finger volaris by the recipient area's size and shape.The flap carry only the artery,and the digital nerve stand on it's original position.The pedicle carry with 5.0-1.0mm wide fascia...
