CAJ | 학술논문

目的：报道第一掌背动脉皮瓣修复拇、食指皮肤软组织缺损的临床效果。方法2005年8月-2012年10月，采用第一掌背动脉皮瓣修复拇、食指皮肤软组织缺损35例，术后随访3～24个月。结果本组35例皮瓣成活良好，外观满意，两点辨别觉达6～10 mm，无虎口挛缩，拇食指的对捏、对掌功能恢复良好。结论第一掌背动脉皮瓣修复拇、食指皮肤软组织缺损操作简单，供血血管变异率低，无需再次手术断蒂，也可制成带血运的掌骨、伸肌腱复合组织瓣，且能携带掌背皮神经重建感觉，值得临床推广。
목적：보도제일장배동맥피판수복무、식지피부연조직결손적림상효과。방법2005년8월-2012년10월，채용제일장배동맥피판수복무、식지피부연조직결손35례，술후수방3～24개월。결과본조35례피판성활량호，외관만의，량점변별각체6～10 mm，무호구련축，무식지적대날、대장공능회복량호。결론제일장배동맥피판수복무、식지피부연조직결손조작간단，공혈혈관변이솔저，무수재차수술단체，야가제성대혈운적장골、신기건복합조직판，차능휴대장배피신경중건감각，치득림상추엄。
Objective To observe the clinical effect of first dorsal metacarpal artery flap in the repair skin defect of thumb index finger. Methods From august 2005 to October 2012, we used the first dorsal metacarpal artery flap to repair the thumb, index finger skin defect wound in 35 cases, and the patients were followed. Results After operation, 35 cases flap survived, followed-up ranged from 3~24 months, it obtained satisfactory appearance, two-point discrimination was 6~10 mm, no contracture occurred, the pinch and opponens function of the thumb, index finger was well. Conclusion It is simple to operation, low variation rate and no pedicle that using the first dorsal metacarpal artery flap to repair thumb and index finger defect and also can be made into vascularized metacarpal flap, tendon composite tissue flap; and it can carry neurocutaneous to reconstruct sensation, is worth the clinical promotion.