含股外侧皮神经的带蒂皮瓣修复手掌皮肤、神经同时缺损

Pedicle Flap With Lateral Femoral Cutaneous Nerve for Repairing of Skin and Nerve Detects in thePalm

目的研究修复手掌皮肤、神经同时缺损的一种方法。方法于同侧股外侧皮神经皮肤分布范围内，设计含股外侧皮神经在内的带蒂皮瓣，将皮瓣内股外侧皮神经的远近断端分别与手掌神经缺损的远近断端吻合，皮肤缺损处以此皮瓣覆盖。结果 临床应用２例，成活２例，术后平均随访１年，皮瓣外观好，皮瓣及患指均已恢复保护性感觉。结论含股外侧皮神经的带蒂皮瓣是修复手掌皮肤神经同时缺损的有效方法。

Objective To describle a method for repairing the skin and nerve defects in the palm.Methods Pedicle flap with lateral cutaneous femoral nerve was designed with the donor and recipient areain the same side. The proximal and distal end of lateral femoral cutaneous nerve of the flap were anastomosedwith the corresponding ends of the nerve defect. In the palm the skin defect was covered with the flap. Re-sults Two cases were treated with the method; and were followed up for about one year. Both flaps survived, the final functional and cosmetic results are satisfactory. The flap area and fingers recovered their pro-tective sense. Conclusion Pedicle flap with lateral femoral cutaneous nerve appeared to be one of the mosteffective methods for treating skin and nerve defects in palm.