带感觉神经的静脉网动脉化皮瓣移植修复手指脱套伤

ABSTRACTTRANSPLANTATION OF ARTERIOLIZED VENOUS NETWORK FLAP WITH SENSORYNERVE FOR REPAIRING DEGLOVING-INJURY OF FINGERS

采用带感觉神经的静脉网动脉化皮瓣修复手指脱套伤６例７指，皮瓣全部成活。此种手术的优点：①一次手术完成手指脱套伤组织皮肤缺损的修复，代价小、功能好。②由于皮瓣内含有感觉神经，伤指可恢复良好的感觉，两点辨别觉５～１０ｍｍ。③皮瓣薄，质地好，手指的外形及功能满意。对手术方法、适应证的选择、皮瓣的成活因素进行了讨论。

epairing degloving injury of fingers by transplantation of ateriolized venous network flapwith sensory nerve for six cases(7 fingers).The ftaps were all got survived, The procedure ofthe operation was performed as following:3～5 supperficial Veins and the medial or Iateral cuta-neous nerve were separated on the palmar side of the forearm as pedicle. According to the defect,the corresponding flaps was designed and was transferred to the injuried finger.Anastormosed tneveins with the two digital arteries and veins.Anastomosed the cutaneous nerve with the digitalnerves.The patients were followed up for two years. The flaps were soft and wear-resisting. The joint movements of the fingers were normal. The two-points discrimination was 5 to 10mm. The contour of the fingers was satisfactory The procedure has the following advantages:1. car-ried out one operation;2. good sensation,3.good appearance and satisfactory function, The in-dications and factors affecting the survival of the flap were discussed.