含指背皮神经的逆行岛状筋膜蒂皮瓣在指端软组织缺损骨外露修复中的临床应用

Clinical Application of the Island Flap with Dorsal Branch of the Digital Nerve on Repairing the Finger Tip Soft Tissue Defect and Bone Exposure

目的探讨含指背皮神经的逆行岛状筋膜蒂皮瓣在修复指端软组织缺损骨外露中的临床应用效果。方法以含指背皮神经的逆行岛状筋膜蒂皮瓣修复指端软组织缺损骨外露创面,共21例。观察皮瓣的成活率、质地、色泽、感觉。结果本组全部患者均随访5～11个月,平均8个月。21例皮瓣全部成活,指端创面均获得覆盖;供区创面顺利愈合;皮瓣质地、弹性均正常,皮色与受区一致,无溃疡发生,感觉恢复良好。结论含指背皮神经的逆行岛状筋膜蒂皮瓣修复指端创面具有手术操作简单、安全,皮瓣厚薄适中,弹性好,色泽与受区一致,利于抗磨、防止溃疡和损伤等优点。

Objective To explore the clinical effect of the finger dorsum cutaneous nerve and fascia pedicle flap for repairing fingertip soft tissue defect and bone exposure. Methods Twenty one cases with finger soft tissue defect were repaired with the finger dorsum cutaneous nerve and fascia pedicle flap. The survival rate, texture, colour, and sensibility of the flap were observed. Results All cases were followed up from 5 to 11 months with an average of 8 mouths. All flaps were survived and the bone exposure was repaired excellently. The flap obtained satisfactory appearance, good function and cosmetic results. Pain and warmth sensation of the flaps recovered completely. Conclusion Repairing defect of fingertip with island flap of dorsal branch of digital nerve can provide good texture and contour matching the recipient area little injuries.