摘要
目的 采用简单有效、可靠的方法修复手指掌、背侧复合组织缺损。方法 根据掌背动脉的解剖特点,设计以第二、三掌背动脉为蒂的肌腱皮瓣、骨皮瓣、肌腱骨皮瓣逆行移位修复示、中、环指掌、背侧复合组织缺损共21例。结果。19例皮瓣顺利成活,2例出现静脉危象,皮缘部分坏死,经拆线、换药后伤口愈合。术后3周开始系统功能练习,15例术后随访3个月～2年6个月,皮瓣柔软、细腻有弹性、外形佳,感觉、运动功能恢复良好。结论 第二、三掌背动脉复合组织瓣的血运可靠,并含有感觉神经,手术操作简单,用于修复示、中、环指掌、背侧复合组织缺损是一种比较理想的手术方法。
Objective To use simple reliable method restore composite deficient in the finger. Methods 21 cases of composite tissue defect in the finger were treated by transfer of the dosal metacapal artery compsite flap. Results The flap survived in 19 cases and had partial necrosis in 2 cases becase of appear vein circulation crisis, which to adopt flap decompress small vein bloodletting was saving. The period of follow-up was 3 monthes - 2 years 6 monthes flap was satisfactory appearance and function. Conclusion The dosal metacapal artery composite flap is an ideal flap for repair of composite tissue defect in the finger.
