尺动脉腕上支皮瓣游离移植修复手指皮肤缺损

Dorsal carpal branch of ulnar artery flap graft to repair the skin defect of the finger

目的：探讨应用尺动脉腕上支皮瓣游离移植修复手指皮肤缺损的临床疗效。方法：对10例手指皮肤缺损的创面，应用尺动脉掌浅支游离皮瓣修复，皮瓣大小1．6cmx2．5cm∽3．0cmx4．5cm。结果：10例皮瓣存活好，其中1例皮瓣术后出现血管痉挛，血管解痉后存活，10例获随访1个月∽1年，其中10例皮瓣外形满意、质地色泽好、两点辨别觉6∽9 mm、患指活动功能良好。结论：尺动脉腕上支皮瓣游离移植修复手指皮肤缺损可获得良好的临床疗效，是修复手指皮肤缺损的一种理想皮瓣。

Objective：To investigate the clinical effect about the dorsal carpal branch of ulnar artery flap graft to repair the skin defect of the finger.Methods：The wound of 10 cases of finger skin defect , application of the dorsal carpal branch of ulnar artery free flap , flap size 1. 6cmx2.5cm-3.0cmx4.5cm.Results 10 flaps survived well , including 1 cases of vasospasm after flap operation , vasospasm was released , and the skin flap survival ,10 cases were followed up from 1 month to 1 year, including 10 cases of flap satisfied appearance , texture and col-our, and two-point discrimination was 6 ~9mm, with good function.Conclusion：he dorsal carpal branch of ulnar artery flap to repair the skin defect of the finger could obtain good clinical curative effect , might be an ideal flap to repair the skin defect of the finger .