桡动脉远端鼻咽窝穿支上行支逆行筋膜瓣的临床应用

Experience of Clinical Application of Distal Radial Artery Perforator Nasopharyngeal Fossa Ascending Retrograde Fascial Flap

目的:探讨桡动脉远端鼻咽窝穿支上行支逆行筋膜瓣治疗手部软组织缺损的临床效果。方法:选出2010年10月至2013年8月应用桡动脉远端鼻咽窝穿支上行支逆行筋膜瓣治疗手部软组织缺损5例。结果:4例皮瓣完全成活,1例皮瓣边缘局部坏死,经过换药处理后愈合,功能恢复良好,感觉正常3例,感觉迟钝2例,皮瓣血运、色泽、质地正常,外形美观。结论:桡动脉远端鼻咽窝穿支上行支逆行筋膜瓣修复手部软组织缺损是一种远期效果肯定,手术代价小(不需牺牲桡动脉)只需一次手术就可完成的手术方法。

Objective： To explore the clinical effect of nasopharyngeal fossa distal radial artery perforator ascending retrograde fascial flap for the treatment of soft-tissue defects of the hand. Methods： 5 cases with soft-tissue defects of the hand were investigated who received the treatment of the distal radial artery perforator of nasopharyngeal fossa ascending reverse fascial flap from October 2010 to August 2013. Results： Flaps of 4 cases survived completely, partial necrosis of flap margin was found in 1 case but healed after dressing, functional recovery was well achieved, 3 cases felt well, 2 cases felt dysaesthesia, and the circulation, color and texture of flaps were normal and the appearance was good-looking. Conclusion： The distal radial artery perforator of nasopharyngeal fossa ascending retrograde fascial flap for repair of soft-tissue defects of the hand was a treatment with good long-term effect and a lower price （without sacrificing the radial artery） and with no more operation needed.