吻合前臂外侧皮神经的交臂皮瓣修复指腹软组织缺损

REPAIR OF SOFT TISSUE DEFECT AT FINGER-TIPS BY CROSS-ARM SKIN FLAP WITH LATERAL ANTEBRANCHIAL CUTANEOUS NERVE

目的 总结吻合前臂外侧皮神经的交臂皮瓣修复手指指腹软组织缺损的临床效果。方法 1996年 3月～ 2 0 0 1年 3月对 37例急诊手指指腹软组织缺损均伴有骨或肌腱外露 ,范围 1.5 cm× 1.5 cm～ 3.5 cm× 4 .0 cm,行前臂交臂皮瓣移位修复术。结果 术后 37例皮瓣均成活 ,3周断蒂 ,创面 期愈合。随访 3～ 4 8个月 ,平均 18个月 ,手指外形恢复满意 ,指腹感觉逐渐恢复 ,3个月时两点辨别觉 8～ 10 mm,活动功能良好。

Objective To summarize the application of cross arm skin flaps with lateral antebranchial cutaneous nerve in repair of soft tissue defect. Methods From March 1996 to March 2001, 37 cases of soft tissue defect at fingertips were repaired by cross arm skin flaps with lateral antebranchial cutaneous nerve, 1.5 cm×1.5 cm to 3.5 cm× 4.0 cm in size. All of the cases were followed up for 3 48 months with routine evaluation of the wound and the function of hands. Results All of the flaps survived and the wound achieved primary healing. The sensation and shape of hands recovered well. Conclusion It's a good choice to repair soft tissue defect at fingertips by cross arm skin flaps with lateral antebranchial cutaneous nerve.