真皮下血管网薄皮瓣Ⅱ期修复手及指背创面

The combined subdermal vascular network skin flaps of the abdominal wall for the repair of soft tissue defects on the dorsum of hand

以腹壁真皮下血管网薄皮瓣二期修复手背和多指各自指背创面共10例,术后7～10天断蒂,同时完成创面修复与分指、指蹼成形手术,效果满意。本设计之皮瓣血供可靠,不需后期修薄。

Successful reconstructive surgery was performed on ten patients with skin and soft tis- sue defects on the dorsum of their hand and fingers using combined subdermal vascular network flaps of the abdominal wall.The pedicle of the flap was divided on 7～10 postoperative day when wound was closed,finger and web reconstrction were completed at the same stage.The operative results were satis- factory.The authors discussed the technique of the method,the blood supply of the flap,the principle of the design and the advantages of the operation.