含股外侧皮神经带蒂皮瓣同时修复手掌皮肤及神经缺损

Pedicle flap with lateral femoral cutaneous nerve for repairing of skin and nerve poteds in palm

目的研究修复手掌皮肤、神经同时缺损的一种方法。方法于同侧股外侧皮神经皮肤分布范围内,设计含股外侧皮神经在内的带蒂皮瓣,将皮瓣内股外侧皮神经的远近端分别与手掌神经缺损的远近断端吻合,皮肤缺损处以此皮瓣覆盖。结果临床应用2例成活2例,术后平均随访1a,皮瓣外观好。皮瓣及患指均已恢复保护性感觉。结论含股外侧皮神经的带蒂皮瓣是修复手掌皮肤及神经同时缺损的有效方法。

[Objective] To deserible a method for repairing the skin and nerve in the palm. [Methods] Pediele flap with lateral cutaneous femoral nerve was designed with the donor and recipient area in the same side. The proximal and distal of lateral femoral cutaneous nerve of the flap were anastomosed with the corresponding ends of the nerve defect. In the palm the skin defect was covered with the flap. [Results] Two eases were treated with the method, and were followed up for about one year. Both flaps survived, the final functional and cosmetic results were satisfactory. The flap area and fingers recovered their protective sense. [Conclusion] Pediele flap with lateral femoral cutaneous verve appears to be one of the most effective methods for treatin~ skin and nerve defects in palm.