尺动脉腕上皮支皮瓣游离移植修复手指皮肤缺损的临床效果

Ulnar Artery Skin Flap Graft Repair Finger Skin Defects Clinical Effect

目的：探讨和分析尺动脉腕上皮支皮瓣游离移植修复手指皮肤缺损的临床效果。方法：2013年6月-2015年4月本院共接收了42例单手指皮肤缺损患者，对所有患者进行尺动脉腕上皮支皮瓣游离移植修复手术，均以尺动脉腕上皮支皮瓣的血管作为采用端。结果：42例单手指皮肤缺损患者中，22例皮瓣较为臃肿，20例皮瓣有部分破损，所有患者在护理人员换药后都顺利地愈合。游离移植手术后的0.5-1年的时间内进行随访，按照我国中华医学会外科手术对上肢部分功能评定试用标准进行评定：42例患者中，优30例，良10例，可2例，优良率95.2%。结论：在医学临床中，对于尺动脉腕上皮支皮瓣游离手术，其解剖的位置比较固定，切取的难度也较小，患者术后皮瓣恢复情况比较理想，术后并发症的发病率较低，是一种比较理想的修复手指皮肤缺损的方法，值得在临床中大力推广。

Objective：To investigate and analyze the ulnar artery skin flap graft repair finger skin defects clinical effect.Method： 42 patients with a single finger skin defects in our hospital were selected from June 2013 to April 2015, all patients were performed ulnar artery skin flap graft reconstructive surgery with ulnar artery skin flap vessels as using end.Result：In 42 patients with a single finger skin defect, 22 patients flap were bloated,20 patients’ flap occurred part of defect, all patients with the nursing dressing were well healed. Performing graft surgery within six months to a year follow-up,according to Chinese medicine surgery on upper part function evaluation standard assessment trial：In 42 patients,30 cases of excellent, 10 cases of good,the good rate of 95.2%.Conclusion：In the clinic, the ulnar artery free skin flap surgery, the anatomic location is fixed, the difficulty of cut is small, postoperative recovery flap is relatively small, relatively low incidence of postoperative complications,it is an ideal way to repair finger skin defects and worth in clinical vigorously promoted.