大鱼际桡侧缘逆行岛状皮瓣的临床应用

Clinical application of radial border reverse island flap of greater thenar

目的探讨应用大鱼际桡侧缘逆行岛状皮瓣修复拇指指腹、末节桡侧缘及指端皮肤软组织缺损的方法。方法2001年12月～2004年11月,我们根据拇指损伤的部位、形状、面积在大鱼际桡侧缘侧中线设计应用大鱼际桡侧缘逆行岛状皮瓣修复拇指指腹、末节桡侧缘及指端皮肤软组织缺损创面共13例。结果皮瓣全部成活,术后3～28个月随访,皮瓣质地优良,外形与感觉等功能恢复满意。结论大鱼际桡侧缘逆行岛状皮瓣手术操作简单、安全可靠,术后治疗、护理较为容易,外形与功能恢复满意,是手外科修复拇指缺损创面较为理想的方法。

Objective To probe the method of repairing soft tissue defect of finger belly,distal phalanx radial border and fingertip of thumb.Methods Form December 2001 to November 2004,according to the site,contour and area of defect wound,we repaired 13 patients by radial border reverse island flap of greater thenar. Results The flaps all survived. Following up for 3-28 months,the quality,contour and sensory of flap recovered satisfactory. Conclusion It is an ideal method for repairing defect wound of thumb that using radial border reverse island flap of greater thenar,because of its easy operation,safety and reliability.