指动脉背侧支逆行筋膜皮瓣修复手指中末节缺损的临床应用

Repairing of Defect on Middle-distal Finger with Reverse Fascial Redicle Island Flap of Dorsal Branche of Digital Artery

目的分析手指近节筋膜皮瓣逆行转移修复手指中末节组织缺损的临床效果。方法回顾性分析2008年3月至2012年3月期间在我院接受治疗的60例手指中末节组织缺损患者的临床资料,60例患者取近节指背设计皮瓣比创面大约20%,并标明受区及供区切口线,自皮瓣近侧切口,寻找位于手指侧方中线偏掌侧的固有血管。结果术后皮瓣全部成活,手功能及外形均满意。结论此皮瓣不牺牲手指指动脉,手术简便,是修复手指中末节软组织缺损及骨外露的一种有效可行的手术方法。

Objective To introduce the surgical procedure and indication of the reverse fascial pedicle island flap of the digital artery dorsal branches in repairing middle-distal finger defect. Methods By retrospective analysising 60 exampled clinical date whose middle-distal finger soft tissue defect were cured in our hospital from March, 2008 to March, 2012. Proximal back flap was taken. The flaps were twenty percent more than the wound area. We marked the recipient area and incision line of donor area,cut incision from the proximal side of flap and found the inherent blood vessels that locate in palm side neutral partial side. Results After the operation, all the flaps survived. The appearance and function of the finger were all satisfactory. Conclusion The flap don sacrifice finger artery. The operation is easy. And itrs a effective way to repair middle-distal finger defect and bone exposure.