摘要
目的探讨应用小指尺掌侧动脉穿支皮瓣修复小指近、中节掌背侧软组织缺损的临床疗效。方法采用小指尺掌侧动脉穿支皮瓣修复7例小指近、中节掌背侧软组织缺损创面,创面面积1.6 cm×2.5 cm^2.3cm×5.6 cm,皮瓣设计面积为2.0 cm×3.0 cm^2.5 cm×6.0 cm。采用中华医学会手外科学会上肢部分功能评定试用标准中的皮肤感觉恢复标准评估术后手指功能。结果6例获得12个月随访,1例术后3个月失访。7例皮瓣完全成活,皮瓣成活良好、外形好,不臃肿,质地、色泽接近受区。术后12个月采用中华医学会手外科学会上肢部分功能评定试用标准中的皮肤感觉恢复标准进行评级:S41例,S3+3例,S22例。结论小指尺掌侧动脉穿支皮瓣修复小指近、中节掌背侧缺损性软组织创面,可获得良好的临床效果,该方法简单、可靠、安全,且患指功能恢复良好。
Objective To investigate the clinical efficacy of repairing the palm and dorsal soft tissue defect of proximal and middle segment of the little fingers with the perforator flap from the ulnarpalmar digital artery of the little finger.Methods The 7 patients with palm and dorsal soft tissue defect of proximal and middle segment of the little fingers were repaired with the perforator flap from the ulnarpalmar digital artery of the little finger.Wound size was 1.6 cm×2.5 cm^2.3 cm×5.6 cm.The cutting flap area was 2.0 cm×3.0 cm^2.5 cm×6.0 cm.The function was evaluated by the hand functional evaluation standard of finger replantation of the Hand Surgery Society of Chinese Medical Association.Results The 6 patients were followed up for 12 months,and 1 case was lost at 3 months postoperation.The 7 flaps were survived completely with good appearance,not bloated and the texture.The color of the flaps were close to receiving area.At 12 months postoperation,according to the functional evaluation standard of finger replantation of the Hand Surgery Society of Chinese Medical Association,the efficacy was evaluated as follows:1 case was S4,3 cases were S3+,2 cases were S2.Conclusions The perforator flap from the ulnarpalmar digital artery of the little finger is used to repair the defect of proximal and middle segment of the little fingers and good clinical results can be obtained.The surgical method is simple,reliable and safe.The function of fingers are recovered well.
作者
叶晶华
顾豪杰
余梦磊
YE Jing-hua;GU Hao-jie;YU Meng-lei(Dept of Orthopaedics Traumatology,Haining Hospital of TCM,Jiaxing,Zhejiang 314400,China)
出处
《临床骨科杂志》
2020年第4期537-539,共3页
Journal of Clinical Orthopaedics
关键词
尺掌侧动脉穿支皮瓣
小指近、中侧
软组织缺损
the perforator flap from the ulnarpalmar digital artery
proximal and middle segment of the little fingers
soft tissue defect
