带指掌侧静脉的指动脉逆行岛状皮瓣的临床应用

CLINICAL APPLICATION OF THE REVERSED DIGITAL ARTERY ISLAND FLAP CONTAINING PALMAR DIGITAL VEIN

介绍一种新的指动脉逆行岛状皮瓣。１９９３年１０月～１９９６年１２月，采用指动脉逆行岛状皮瓣修复１３例１７指皮肤缺损，并对皮瓣带或不带指掌侧静脉进行了对比性研究。结果表明，本组１７块皮瓣均成活。在术后早期并发症中，不带指掌侧静脉皮瓣的静脉危象发生率为８７．５％（７／８），带指掌侧静脉的皮瓣仅为１１．１％（１／９）。认为，带指掌侧静脉的指动脉逆行岛状皮瓣，可明显减少该皮瓣静脉危象的发生。

In order to introduce a novel reversed digital artery island flap, it was used in 13 cases involving 17 digital skin defects since 1993, in which digital skin defects were covered by a reversed digital artery island flap, a comparative study was made between the flaps with or without a palmar digital vein. The results showed that the 17 island flaps were all survived, and during the early stage after operation, the incidence of venous crisis in the flaps without palmar digital vein was 87.5% (7/8) while that in the flaps with the vein was only 11.1% (1/9), so, it was concluded that the reversed digital artery island flap containing a palmar digital vein could obviously reduce the incidence of venous crisis and improve the survival of the flap.