青岛医药卫生
青島醫藥衛生
청도의약위생
QINGDAO MEDICAL JOURNAL
2015年
2期
86-89
,共4页
纪翔%丁小珩%刘育杰%屈志刚%姜凯%张宏勋%焦鸿生%仲霄鹏%刘春雷%郑波
紀翔%丁小珩%劉育傑%屈誌剛%薑凱%張宏勛%焦鴻生%仲霄鵬%劉春雷%鄭波
기상%정소형%류육걸%굴지강%강개%장굉훈%초홍생%중소붕%류춘뢰%정파
桡动脉掌浅支%游离皮瓣%皮肤缺损%指动脉缺损
橈動脈掌淺支%遊離皮瓣%皮膚缺損%指動脈缺損
뇨동맥장천지%유리피판%피부결손%지동맥결손
Superficial palmar branch of radial artery%Free flap%Finger defect%Digital artery de-fect
目的：探讨应用游离桡动脉掌浅支皮瓣修复手指掌侧皮肤合并指动脉复合组织缺损的临床疗效。方法2010年10月至2014年4月收治9例手指掌侧皮肤合并指动脉缺损患者，切取桡动脉掌浅支皮瓣游离移植修复创面，同时利用该皮瓣中的桡动脉掌浅支桥接修复指固有动脉，恢复指体血运，供区直接缝合。结果术后皮瓣顺利成活，其中1例皮瓣近端部分皮肤血泡形成，经换药处理，创面愈合。9例患者均获随访，随访时间为6~12个月，平均8个月。皮瓣质地柔软，颜色与周围皮肤相似。供区一期闭合，瘢痕较隐蔽。末次随访时，患指功能根据总主动活动度评分法，获优6例，良2例，可1例，优良率88.9%。结论桡动脉掌浅支穿支皮瓣可做为血流桥接皮瓣，手术操作简单，供区损伤小，是修复手指掌侧皮肤合并动脉缺损的理想方法之一。
目的：探討應用遊離橈動脈掌淺支皮瓣脩複手指掌側皮膚閤併指動脈複閤組織缺損的臨床療效。方法2010年10月至2014年4月收治9例手指掌側皮膚閤併指動脈缺損患者，切取橈動脈掌淺支皮瓣遊離移植脩複創麵，同時利用該皮瓣中的橈動脈掌淺支橋接脩複指固有動脈，恢複指體血運，供區直接縫閤。結果術後皮瓣順利成活，其中1例皮瓣近耑部分皮膚血泡形成，經換藥處理，創麵愈閤。9例患者均穫隨訪，隨訪時間為6~12箇月，平均8箇月。皮瓣質地柔軟，顏色與週圍皮膚相似。供區一期閉閤，瘢痕較隱蔽。末次隨訪時，患指功能根據總主動活動度評分法，穫優6例，良2例，可1例，優良率88.9%。結論橈動脈掌淺支穿支皮瓣可做為血流橋接皮瓣，手術操作簡單，供區損傷小，是脩複手指掌側皮膚閤併動脈缺損的理想方法之一。
목적：탐토응용유리뇨동맥장천지피판수복수지장측피부합병지동맥복합조직결손적림상료효。방법2010년10월지2014년4월수치9례수지장측피부합병지동맥결손환자，절취뇨동맥장천지피판유리이식수복창면，동시이용해피판중적뇨동맥장천지교접수복지고유동맥，회복지체혈운，공구직접봉합。결과술후피판순리성활，기중1례피판근단부분피부혈포형성，경환약처리，창면유합。9례환자균획수방，수방시간위6~12개월，평균8개월。피판질지유연，안색여주위피부상사。공구일기폐합，반흔교은폐。말차수방시，환지공능근거총주동활동도평분법，획우6례，량2례，가1례，우량솔88.9%。결론뇨동맥장천지천지피판가주위혈류교접피판，수술조작간단，공구손상소，시수복수지장측피부합병동맥결손적이상방법지일。
Objective To investigate the outcome of the free flap from superficial palmar branch of radial artery for repairing composite tissue defects.Methods From October 2010 to April 2014, we repaired 9 patients with finger composite defects with the SPBRA flap,used the SPBRA flap to repair the defects,at the same time,had the technique of flow-through to recover the blood supply of injured fingers.All the donor sites were directly closed.Results All flaps survived, and wounds healed by first intention;1 case had partial blood blister and the wound recovered by changing dressing.All patients were followed up from 6 to 12 months(mean 8 months).The ap-pearance,texture and color of the flaps were satisfactory.The donor sites healed primarily with the inconspicuous scars and no limitation of wrist flexion and extension.According to total active motion(TAM)standard,the finger function was assessed as excellent in 6 cases,good in 2 cases and fair in 1 case,and excellent and good rate was 88.9%.Conclusion The SPBRA flap with flow-through technique is one of ideal flaps who appears less damage to repair composite defects.
