掌背动脉逆行岛状筋膜瓣修复手部皮肤缺损

Use of Reversed Second or Third Dorsal Metacarpal Artery Island Fasciocutaneous Flap in Repair of Skin Defect of Hand

目的:介绍掌背动脉逆行筋膜瓣修复手部皮肤缺损的临床应用。方法:采用第二、第三掌背动脉逆行岛状筋膜瓣分别修复手部皮肤缺损10例。皮肤缺损面积2.0cm×3.0cm-3.0cm×5.0cm。结果:10例筋膜瓣移位均成活,效果满意。结论:应用第二、三掌背动脉逆行岛状筋膜瓣移植是治疗手部皮肤缺损一种简单有效的手术方法。

Objective：To introduce the clinical application of the repair skin defect of hand by reversed second or third metacarpal artery island fasciocutaneous flaps. Methods： Ten cases of skin defect of hand had been repaired by reversed second or third dorsal metacarpal artery island fasciocutaneous flaps transfer. The skin defects are 2. 0cm × 3.0cm-3. 0cm× 5. 0cm large. Resuits： All the flaps survived with good function. Conclusion： Using reversed second or third dorsal metacarpal artery island fascio- cutaneous flaps transfer in repair skin defect of hand might be a simple and effective alterative option.