中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2013年
5期
268-270
,共3页
廖晓辉%王平%李峻%王伟%郭雅娣%朱诚%闵捷%王炳%周礼荣
廖曉輝%王平%李峻%王偉%郭雅娣%硃誠%閔捷%王炳%週禮榮
료효휘%왕평%리준%왕위%곽아제%주성%민첩%왕병%주례영
外科皮瓣%解剖学,局部%岛状皮瓣
外科皮瓣%解剖學,跼部%島狀皮瓣
외과피판%해부학,국부%도상피판
Surgical flaps%Anatomy,regional%Island flaps
目的 探讨同指带神经血管蒂顺行岛状皮瓣的显微解剖结构,为修复指端软组织缺损提供解剖学依据.方法 解剖20侧成人尸体手标本,解剖观察皮瓣的神经血管束结构及皮瓣的推进距离.结果 皮瓣推进距离拇指为(16.7± 1.4) mm,示指为(18.5± 1.2) mm,中指为(19.7±1.8) mm,环指为(18.1±1.0) mm,小指为(15.8±1.2) mm;该皮瓣能前移1.5 ~ 2.0 cm左右,掌指关节和指间关节屈曲15° ~ 20°,可增加约0.5 cm左右,皮瓣最大推进距离以2.0~ 2.5 cm为宜.结论 同指带神经血管蒂顺行岛状皮瓣操作简便,兼顾外观、感觉及功能,是修复指腹创面的理想皮瓣.
目的 探討同指帶神經血管蒂順行島狀皮瓣的顯微解剖結構,為脩複指耑軟組織缺損提供解剖學依據.方法 解剖20側成人尸體手標本,解剖觀察皮瓣的神經血管束結構及皮瓣的推進距離.結果 皮瓣推進距離拇指為(16.7± 1.4) mm,示指為(18.5± 1.2) mm,中指為(19.7±1.8) mm,環指為(18.1±1.0) mm,小指為(15.8±1.2) mm;該皮瓣能前移1.5 ~ 2.0 cm左右,掌指關節和指間關節屈麯15° ~ 20°,可增加約0.5 cm左右,皮瓣最大推進距離以2.0~ 2.5 cm為宜.結論 同指帶神經血管蒂順行島狀皮瓣操作簡便,兼顧外觀、感覺及功能,是脩複指腹創麵的理想皮瓣.
목적 탐토동지대신경혈관체순행도상피판적현미해부결구,위수복지단연조직결손제공해부학의거.방법 해부20측성인시체수표본,해부관찰피판적신경혈관속결구급피판적추진거리.결과 피판추진거리무지위(16.7± 1.4) mm,시지위(18.5± 1.2) mm,중지위(19.7±1.8) mm,배지위(18.1±1.0) mm,소지위(15.8±1.2) mm;해피판능전이1.5 ~ 2.0 cm좌우,장지관절화지간관절굴곡15° ~ 20°,가증가약0.5 cm좌우,피판최대추진거리이2.0~ 2.5 cm위의.결론 동지대신경혈관체순행도상피판조작간편,겸고외관、감각급공능,시수복지복창면적이상피판.
Objective To investigate the micro-anatomical structures of the antegrade neurovascular island flap and provide anatomical basis of using this flap from the same finger for repairing finger pulp defects.Methods Twenty adult cadaver hand specimens were dissected under a surgical microscope.Anatomical structures of the neurovascular bundle of the flap were observed and the flap advancing distance was measured.Results The advancing distance of the island flap was (16.7± 1.4) mm in the thumb,(18.5± 1.2) mm in the index finger,(19.7± 1.8) mm in the middle finger,(18.1 ± 1.0) mm in the ring finger and (15.8 ±1.2) mmin the little finger.Overall the flap could be advanced about 1.5 to 2.0 cm.Another 0.5 cm advancement could be achieved when the metacarpophalangeal joint and proximal interphalangeal joint were flexed for 15° to 20°.The maximum advancing distance should not exceed 2.0 to 2.5 cm.Conclusion Advancement of antegrade neurovasctlar island flap from the same finger offers a sensate skin flap for coverage of finger pulp defect.The surgical technique is simple,and the clinical results are satisfactory.It is an ideal method for reconstruction of thumb or finger pulp defects.