双叶指动脉岛状皮瓣修复拇指掌侧软组织缺损临床分析

The clinical analysis of double leaf finger artery island flap in the repair of soft tissue defect in ventral thumb

目的：探讨带神经双叶指动脉岛状皮瓣修复拇指掌侧大面积软组织缺损的效果。方法：根据14例拇指掌侧大面积软组织缺损创面的大小，在中指尺侧、环指桡侧设计带神经双叶指动脉岛状皮瓣转移修复患处，供区创面植皮修复。结果：14例皮瓣全部存活。随访1～38个月手指外形满意，感觉、功能良好。结论：应用中指尺侧环指桡侧带神经双叶指动脉岛状皮瓣修复拇指掌侧大面积软组织缺损创面，克服了常见皮瓣的缺点，且具有设计合理、切取转移方便、供受区邻近组织结构合理、修复后外形满意等优点。

Objective：To explore the effects of double leaf finger artery island flap with nerve in the repair of soft tissue defect in ventral thumb. Methods ：According to the defect area in ventral thumb of 14 cases, double leaf finger artery island flap with nerve in ulnar side of middle finger and radial side of ring finger was designed and transferred into the wound. The wound of donor was repaired by skin grafting. Results： All flaps survived, good finger appearance and sensibility function were found by following up for 1 to 38 months. Conclusious：The double leaf finger artery island flap with nerve in ulnar side of middle finger and radial side of ring finger in the repair of soft tissue defect in ventral thumb is reasonable design, convenient transfer, rational construction and good appearance after repair.