摘要
采用带感觉神经的静脉网动脉化皮瓣修复手指脱套伤６例７指，皮瓣全部成活。此种手术的优点：①一次手术完成手指脱套伤组织皮肤缺损的修复，代价小、功能好。②由于皮瓣内含有感觉神经，伤指可恢复良好的感觉，两点辨别觉５～１０ｍｍ。③皮瓣薄，质地好，手指的外形及功能满意。对手术方法、适应证的选择、皮瓣的成活因素进行了讨论。
epairing degloving injury of fingers by transplantation of ateriolized venous
network flapwith sensory nerve for six cases(7 fingers).The ftaps were all got survived, The
procedure ofthe operation was performed as following:3～5 supperficial Veins and the medial
or Iateral cuta-neous nerve were separated on the palmar side of the forearm as pedicle.
According to the defect,the corresponding flaps was designed and was transferred to the
injuried finger.Anastormosed tneveins with the two digital arteries and veins.Anastomosed the
cutaneous nerve with the digitalnerves.The patients were followed up for two years. The flaps
were soft and wear-resisting. The joint movements of the fingers were normal. The two-points
discrimination was 5 to 10mm. The contour of the fingers was satisfactory The procedure has
the following advantages:1. car-ried out one operation;2. good sensation,3.good appearance
and satisfactory function, The in-dications and factors affecting the survival of the flap were
discussed.
出处
《中国修复重建外科杂志》
CAS
CSCD
1995年第4期199-201,共3页
Chinese Journal of Reparative and Reconstructive Surgery
