摘要
目的根据指背静脉及静脉弓的解剖特点,改进旗形皮瓣的设计与应用。方法利用桡侧或尺侧指背静脉为轴心静脉,用逆行设计法,为6例指掌侧与手掌侧相联的缺损设计了旗形静脉皮瓣修复。结果全部成活,伤口Ⅰ期愈合。随访3个月,手指活动及外形良好。结论此类皮瓣可Ⅰ期同时修复指掌侧和手掌侧皮肤缺损,扩大了旗形皮瓣的应用范围。
Objective To improve the design and application of the flag flap. Method Based on the anatomical characteristics of the dorsal digital veins and the venous arch, the flag flap pedicled with the veins in the dorsum of the finger was used to repair the skin defects of the ventral finger and hand in six cases. Results All flaps survived with primary healing. Three months' follow-up showed that the function and appearance of the finger were satisfactory. Conclusion The design of the flap broadens its application in repairing the defects on the ventral finger and hand.
