指背皮神经营养血管皮瓣修复手指末节皮肤缺损

On the Rehabilitation of Finger Paratelum Cutaneous Deficiency by Application of Dorsal Cutaneous Nerve of Finger Nutrient Vessel Skin Flap

目的介绍指背皮神经营养血管皮瓣修复手指末节皮肤缺损的临床效果。方法按皮肤缺损情况,在近节指背切取皮瓣,皮瓣包含指背神经及指固有神经背侧支,逆行修复创面。结果 15例皮瓣有 14例全部成活,1例出现小部分坏死。成活皮瓣无臃肿,质地软,供区无并发症,关节活动不受影响。结论该皮瓣不损伤指固有动脉、神经,操作简便,手术一次完成,是修复指端皮肤缺损的较好方法。

Aims： To introduce the clinical effect of the dorsal cutaneous nerve of fingers nutrient vessel skin flap repairing the paratelum of finger cutaneous deficiency. Methods： Based on the conditions of cutaneous deficiency, cutting the skin flap in the near segment finger, the skin flap contains the dorsal cutaneous nerve and the dorsal branch of nervous proprii, flyback to repair the raw surface. Results： Among the 15 case of flaps, 14 cases survived, 1 case suffered from small partial necrosiss. All the flaps were not tumefaction or clumsy. The texture was soft without complication in the donor site, or influence in the joint motion. Conclusion： The flap does not damage the inherent artery or nervous proprii. The test was successful. The author finds the method is an effective way to repair the paratelum of finger cutaneous deficiency.