摘要
目的 探讨（足母）甲瓣移植术后供区创面采用吻合血管的腓动脉穿支皮瓣游离移植修复的应用价值 方法 2008年1月至2013年3月,收治26例因外伤致手拇指近、末节撕脱,皮肤与甲床组织缺损患者,施行吻合神经、血管的（足母）甲瓣游离移植修复拇指后,采用吻合血管的腓动脉穿支皮瓣游离移植修复第一趾皮瓣供区皮肤与甲床组织缺损. 结果 26例皮瓣全部顺利成活,经3个月～4年随访,（足母）趾供区保留了趾体原有的长度,皮瓣外形无臃肿,皮肤耐磨性可,痛觉、温觉、触觉有部分恢复,两点辨别觉达5 ～10 mm,除供足穿人字拖鞋有不适外,站立、行走无明显不适. 结论 采用腓动脉穿支皮瓣游离移植是修复因甲瓣游离移植修复拇指后第一趾皮瓣供区皮肤与甲床组织缺损创面的良好方法.
Objective To investigate the prothetic effect of free grafting of microvascular anastomotic peroneal artery perforator flap when used to repair the donor tissue defects of wrap-around flap of toe.Methods From January 2008 to March 2013,twenty-six cases thumb avulsion at proximal and distal phalanx level with skin and nail bed defect caused by trauma were admitted to our hospital.After incising wrap-around flap of toe to repair the thumb defects,microvascular anastomotic peroneal artery perforator flap was transplanted freely to repair the donor site of it.Results The skin flaps of 26 cases all successfully survived.After a followed-up of 3 months to 4 years,the length of donor toes were the same as before.The appearance of skin flaps were no fat and clumsy and the abradability of their skin were well.Algesia,thalposis and thigmesthesia were partially recovery.Two point discrimination reached to 5-10 mm.There were no obvious uncomfortableness in donor feet when standing and walking except wearing flip-flops.Conclusion Free grafting of peroneal artery perforator flap is a good method to repair the donor defect caused by incising wrap-around flap of toe.
出处
《中华显微外科杂志》
CSCD
北大核心
2014年第1期14-16,共3页
Chinese Journal of Microsurgery
关键词
(足母)甲瓣
供区
腓动脉穿支皮瓣
显微外科手术
Wrap-around flap of toe
Donor sites
Peroneal artery perforator flap
Microsurgical operation
