腕掌侧桡动脉掌浅支游离皮瓣修复手指皮肤缺损并桥接手指动脉效果的探讨.docVIP

腕掌侧桡动脉掌浅支游离皮瓣修复手指皮肤缺损并桥接手指动脉效果的探讨 　　[摘要] 目的 探讨手指皮肤缺损治疗时应用腕掌侧桡动脉掌浅支游离皮瓣修复并桥接手指动脉的效果。方法 整群选择该院2015年7月―2016年7月收治的手指皮肤缺损患者31例，均应用腕掌侧桡动脉掌浅支游离皮瓣修复治疗，同时桥接手指动脉，观察治疗效果。 结果 31例患者手术均顺利完成，手术时间（142.8±12.5）min；术中出血量（52.1±3.3）mL。术后，31例患者移植皮瓣均成活，创面愈合情况良好，愈合时间（13.6±2.8）d。术后发生并发症4指，发生率11.4%。结论 手指皮肤缺损应用腕掌侧桡动脉掌浅支游离皮瓣修复并桥接手指动脉治疗时，具有良好的治疗效果，可促进患指功能的恢复。 　　[关键词] 桡动脉掌浅支；皮瓣；手指；皮肤缺?p 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）12（b）-0062-03 　　Wrist Volar Superficial Branch of Radial Artery Hand Free Flap to Repair Finger Skin Defect and Bridging Effect of Finger Artery 　　TAN Qing-song 　　Xiamen City Lake Huaxing Hospital of Fujian Hand Surgery ，Xiamen， Fujian Province， 361000 China 　　[Abstract] Objective To explore the application of wrist volar finger skin defect treatment free flap to repair and superficial branch of radial artery palm bridging effect of finger artery. Methods We group selected in July 2015 to July 2015 were 31 cases of finger skin defect patients were applied wrist volar free flap to repair treatment， the superficial branch of radial artery zhang bridge finger artery at the same time， to observe the treatment effect. Results 31 patients were successfully completed surgery， surgery time （142.8 ± 12.5） min； Intraoperative blood loss （52.1 ± 3.3） mL. After surgery， transplant flap of 31 cases were survival and wound healing in good condition， healing time （13.6 ± 2.8） d. Incidence of postoperative complications in 4 refers to 11.4%. Conclusion The application wrist volar finger skin defect free flap to repair and superficial branch of radial artery zhang bridge finger artery， has good treatment effect， can promote cancer refers to the recovery of function. 　　[Key words] Superficial palmar branch of radial artery；Flap；Finger；Skin defect 　　手指皮肤缺损具有比较高的发病率，外伤为主要致伤原因，临床治疗时，传统方法对创面修复比较关注，但如果患者合并手指血运障碍、肌腱缺损等症状时，需移植多处组织，而且部分患者修复后的手指美观度并不高，患者满意度较低。研究表明，手指掌侧皮肤缺损利用桡动脉掌浅支皮瓣修复时，可提升创面修复效果，并良好的恢复手指功能[1]。该院2015年7月―2016年7月收治了31例手指皮肤缺损患者，均应用腕掌侧桡动脉掌浅支游离皮瓣修复治疗，并桥接手指动脉，取得良好治疗效果，现报道如下。