改良前臂Flow-through静脉皮瓣在电损伤所致濒危手指中的临床应用

Clinical application of a modified forearm Flow-through venous flap for controlling arterial blood flow in the repair and reconstruction of hemodynamically impaired fingers due to electrical injury

目的介绍控制动脉血流的改良前臂Flow-through静脉皮瓣在电损伤所致濒危手指血运重建与创面修复中的临床经验.方法自2021年3月至2023年6月,我们共收治20例手部重度电烧伤患者,采用控制动脉血流的改良前臂Flow-through静脉皮瓣进行血运重建与创面修复.皮瓣面积为3.0cmx2.5cm~12.0cmx4.0cm.结果术后所有患指均存活,5例皮瓣发生部分坏死,无严重并发症发生.术后随访时间为6个月,所有患者对术后手部外观和功能均感到满意.结论控制动脉血流的前臂Flow-through静脉皮瓣是一种操作简单、血供可靠的重建电损伤所致濒危手指血运与修复创面的有效方法.

Objective To introduce the clinical experience of a modified forearm Flow-through venous flap for controlling arterial blood flow in the reconstruction of hemodynamically impaired fingers due to electrical injury.Methods From March 2021 to June 2023,a total of 20 patients with severe electric burns in the hands were treated.A modified forearm Flow-through venous flap for controlling arterial blood flow was used for blood flow reconstruction and wound repair.The flap area was 3.0 cm x2.5 cm to 12.0 cm x4.0 cm.Results All affected fingers survived after surgery,and 5 cases of skin flap necrosis occurred without serious complications.The postoperative follow-up time was 6 months.All patients were satisfied with the postoperative appearance and function of their hands.Conclusion The forearm Flow-through venous flap for controlling arterial blood flow is an effective method for reconstructing hemodynamically impaired fingers due to electrical injury,with simple operation and reliable blood supply.