应用游离串联静脉皮瓣修复手掌穿通伤创面

The application of free series venous flap in palm penetrating wound

目的探讨应用游离串联静脉皮瓣修复手掌穿通伤后皮肤缺损的临床疗效。方法 2010年9月~2012年6月,采用共用一组静脉的游离串联静脉皮瓣一次修复穿通伤后手掌手背皮肤软组织缺损创面共5例,均为手掌穿通伤后手掌手背皮肤软组织缺损创面,缺损面积:7.0 cm×4.0 cm^2.5 cm×2.0 cm。皮瓣供区均为伤侧前臂掌面,皮瓣血管均与指总动脉、掌背浅静脉吻合,供区均直接缝合。结果该组5例皮瓣全部成活,未出现血管危象,随访3~10个月,临床疗效满意。结论应用游离串联静脉皮瓣移植修复手掌穿通伤后手掌手背皮肤软组织缺损创面,用一个皮瓣的血管吻合同时修复两个创面,临床效果满意,操作简单,值得推广应用。

[ Objective ] To investigate clinical efficacy of the free series venous flap in palm penetrating wound. [Methods] 5 cases of palm penetrating wound were repaired using the free series venous flap from September 2010 to June 2012, with defect area： 7.0 cmx 4.0 cm-2.5 cm x 2.0 cm. Ipsilateral forearm palm was used as flap donor site. All vessels of flap were anastomosed directly with arteria digitalis and dorsal metacarpal veins. The donor site was sutured directly. [Results] Five flaps all survived, vascular crisis did not appear, followed up for 3 to 10 months, the clinical results were satisfactory. [ Conclusion ] The clinical efficacy of the free series venous flap in palm penetrating was satisfactory. This operation uses a vascular anastomosis in a flap to repair two wounds. The op- eration is a simple, should be widely applied.