CAJ | 학술논문

目的总结分析用掌背皮神经营养血管蒂逆行岛状皮瓣修复手指软组织缺损的疗效.方法 2005年6月至2008年5月应用掌背皮神经营养血管蒂逆行岛状皮瓣治疗手指软组织缺损30例,其中男21例,女9例;30例中拇指末节缺损6例,拇指指背缺损4例,食指指腹缺损5例,中指指腹缺损3例,示、中指指背软组织缺损各5例,环指指背软组织缺损2例.急诊手术27例,择期手术3例.皮瓣最大面积5.0 cm×3.5 cm,最小面积3.0 cm ×2.5 cm.结果 28例皮瓣成活良好,2例皮瓣术后2～3 d出现暗紫、肿胀、结痂,经对症处理脱痂后成活;经5～12个月随访,手指外形和功能恢复满意.结论掌背皮神经营养血管蒂逆行岛状皮瓣血供可靠,不损伤知名血管,操作简单,是修复手指软组织缺损较理想的皮瓣.
목적 총결분석용장배피신경영양혈관체역행도상피판수복수지연조직결손적료효.방법 2005년6월지2008년5월응용장배피신경영양혈관체역행도상피판치료수지연조직결손30례,기중남21례,녀9례;30례중무지말절결손6례,무지지배결손4례,식지지복결손5례,중지지복결손3례,시、중지지배연조직결손각5례,배지지배연조직결손2례.급진수술27례,택기수술3례.피판최대면적5.0 cm×3.5 cm,최소면적3.0 cm ×2.5 cm.결과 28례피판성활량호,2례피판술후2～3 d출현암자、종창、결가,경대증처리탈가후성활;경5～12개월수방,수지외형화공능회복만의.결론 장배피신경영양혈관체역행도상피판혈공가고,불손상지명혈관,조작간단,시수복수지연조직결손교이상적피판.
Objective To investigate the reverse island skin flap nourished by the cutaneous nerve nutrient vessel of the dorsum of hand in the repair of the soft tissue defect of fingers.Methods Thirty reverse island skin flaps nourished by the cutaneous nerve nutrient vessel were designed on the dorsum of hand along the cutaneous nerve for repairing finger soft tissue defect in 30 patients.The size of the reverse island skin flap ranged from 5.0 cm×3.5 cm to 3.0 cm×2.5 cm.Results Among the 30 case of flaps,28 cases survived,2 flaps had signs of circulation crisis postoperatively for a few days and suffered after treatment.The follow-up period was 5-12 months,the fingers repaired have good appearances and functions.Conclusion The reverse island skin flap nourished by the cutaneous nerve nutrient vessel of the dorsum of hand has reliable blood supply,without damage of a known vessel and easy manipulation.The anthor finds the method is an effective way to repair the soft tissue defect of fingers.