CAJ | 학술논문

目的总结采用拇指桡背侧皮神经营养血管筋膜蒂皮瓣移位修复拇指指腹缺损的临床效果.方法 2010年5月~2012年1月,应用拇指桡背侧逆行皮神经营养血管筋膜蒂修复拇指指腹缺损18例,将皮瓣内拇指背侧皮神经断端与伤指固有神经断端吻合.结果术后18例皮瓣完全成活,仅2例出现皮瓣苍白,予保温、扩血管药物及对症处理后渐恢复,愈合后表皮脱落,供区切口顺利愈合,植皮均成活.15例获随访,随访时间4~18个月,皮瓣质地优良、不臃肿,外形满意,两点分辨觉为5~10mm.结论吻合神经的拇指桡背侧皮神经营养血管筋膜蒂皮瓣外形好,解剖位置恒定,操作简单,供区损伤小,术后恢复满意,是修复拇指指腹缺损的一种理想方法.
목적 총결채용무지뇨배측피신경영양혈관근막체피판이위수복무지지복결손적림상효과.방법 2010년5월~2012년1월,응용무지뇨배측역행피신경영양혈관근막체수복무지지복결손18례,장피판내무지배측피신경단단여상지고유신경단단문합.결과 술후18례피판완전성활,부2례출현피판창백,여보온、확혈관약물급대증처리후점회복,유합후표피탈락,공구절구순리유합,식피균성활.15례획수방,수방시간4~18개월,피판질지우량、불옹종,외형만의,량점분변각위5~10mm.결론 문합신경적무지뇨배측피신경영양혈관근막체피판외형호,해부위치항정,조작간단,공구손상소,술후회복만의,시수복무지지복결손적일충이상방법.
@@@@ Objective To summarize the clinical result of the use of radial dorsal of thumb neurocutaneous fascia pedicle flap for repairing the thumb pulp defect .Methods From May 2010 to January 2012,18 digital finger pulp soft tissue of thumb were repaird in our de-partment.The dorsal cutaneous nerve of thumb was coapted with the hurt finger's inherent nerve.Results Eighteen cases of flap survived completely,only 2 cases with pale skin flap after given heat preservation ,vasodilators and symptomatic treatment were gradually restored .After skin off,donor site healed naturally ,skin graft survived completely.Fifteen cases were followed up from 4 months to 18 months with fine tex-ture,not clumsy,good shape and the sensation with 2-PD was of 5~10mm.Conclusion The radial dorsal of thumb neurocutaneous fascia pedicle flap is a ideal method for the thumb pulp defect ,with good shape,constant anatomical position ,simple operation,small injury of donor site,and postoperative sensory recovery satisfaction .