延长的指动脉逆行岛状皮瓣的临床研究

A clinical study on the extended reverse digital artery island flap

目的 探讨延长切取指动脉逆行岛状皮瓣的可行性和临床效果。方法 2 0 0 1年以来 ,延长切取指动脉逆行岛状皮瓣修复指腹缺损 7例。结果 皮瓣全部成活 ,经随访 ,修复后指腹两点辨别觉为 6～ 9mm(平均为 7 6mm) ,外形满意 ,患者均恢复原工作。结论 延长切取指动脉逆行岛状皮瓣安全可行 ,是一种修复指腹大范围缺损的较理想方法。

Objective To investigate the feasibility and clinical effect of the extended reverse digital artery island flap including dorsal digital nerve. Methods Since 2001, 7 cases of pulp and digital palm defects were repaired by the extended reverse digital artery island flap including dorsal digital nerve. Results All the flaps survived. Follow-up showed satisfactory results functionally and cosmetically with 2-PD of 6～9 mm.Conclusions The extended reverse digital artery island flap is a safe and feasible and an effective method for repair of finger pulp defects.