腹部随意单蒂三叶皮瓣修复多指末端皮肤缺损

Abdominal random single pedicled flap of three leaves for the treatment of multiple finger skin defects

目的:探讨采用腹部随意单蒂三叶皮瓣修复多指末端皮肤缺损的修复疗效。方法:自2005年3月至2010年10月,共收治30例90指,男20例60指,女10例30指;年龄15～56岁,平均36岁。同手中节指骨远端以远指体的皮肤脱套伤或横行缺损患者,选用腹部随意单蒂三叶皮瓣进行修复。术后随访观察皮瓣存活情况、皮瓣外形及术后并发症发生情况,并测定皮瓣两点辨别觉恢复情况。结果:30例患者术后获得随访,平均12.6个月,皮瓣全部存活,皮瓣色泽、质地、外形良好,两点辨别觉5～10mm,手功能恢复优良。结论:腹部随意单蒂三叶皮瓣手术方法简单、安全,供区损伤小,修复多指末端皮肤缺损可获得较为满意的疗效。

Objective ： To discuss the effect of abdominal random single pedicled flap of three leaves for skin defects con- struction of the ends of several fingers. Methods：From March 2005 to October 2010,30 patients （90 fingers） with skin defects of the ends of several fingers were treated by abdominal random single pedicled flap of three leaves,including 20 males （60 fingers） and 10 females （30 fingers） with an average age of 36 years old ranging from 15 to 56 years. The degloving injury or transverse defect of distal phalanx were treated with abdominal random single pedicled flap of three leaves. Postoperative sur- vival of skin flap, flap shape, complications were observed, and the static two-point discrimination of flap were determined. Re- suits：All patients were followed up for 12.6 mouths in average. All the flaps survived. The Color, texture and shape of the flaps were good. The static two-point discrimination was 5 to 10 mm. The function of the hands recovered satisfactory. Conclusion： The method of abdominal random single pedicled flap of three leaves has the advantages of simple, safe and less trauma for the donor site. The effect is satisfatory for skin defects construction of the ends of several fingers.