骨间背动脉皮瓣修复手部软组织缺损

Interosseous dorsi iliac artery flap in repair of soft tissue defect in hand

目的探讨应用骨间背动脉皮瓣修复手部软组织缺损的临床效果。方法应用骨间背动脉皮瓣修复20例手部软组织缺损患者。创面缺损面积:1.5 cm×2 cm^5 cm×11 cm,皮瓣切取面积:2.5 cm×3 cm^6cm×12 cm,其中游离皮瓣5例,局部转移皮瓣15例。结果 20例皮瓣全部成活,手术时间1.5~3 h。所有患者均获随访,时间6~36个月。患肢外观及功能均满意。结论骨间背动脉皮瓣切取简便,血运可靠,不损伤主干血管,对供区损伤小,可带蒂转移,亦可吻合移植,是修复手指软组织缺损较理想皮瓣。

Objective To explore the effect of interosseous dorsal artery flap in repair of hand soft tissue defect. Methods Interosseous dorsal artery flap was used to repair hand soft tissue defect in 20 patients, the defect area was 1. 5cm × 2cm∽5cm × 11cm, flaps area was 2. 5 cm × 3 cm∽6 cm × 12 cm, including free flap 5 cases, rotational flap 15 cases. Results All 20 flaps survived, the operation time was 1. 5∽3h. All patients had been followed up for 6∽36 months, limb appearance and function were satisfactory. Conclusions Interosseous dorsal artery flap is easy to harvest, which provide reliable blood supply, without main blood vessel injury, little damage to the donor area. It can be pedicle transfer, can also be consistent with transplantation. It is the ideal skin flap repair of finger soft tissue defect.