摘要
目的：对逆行指背神经营养血管筋膜蒂皮瓣修复邻指背侧皮肤缺损进行疗效评价。方法对10例患指背侧皮肤缺损采用逆行指背神经营养血管筋膜蒂皮瓣修复。结果本组10例皮瓣均成活。8例患者因早期功能锻炼，断蒂后1周患指屈伸达到正常；2例患者断蒂后经2周康复锻炼，患指屈伸活动达到正常。结论指固有神经背侧支营养血管皮瓣修复邻指背侧缺损，可早期行两指屈伸活动锻炼，防止关节僵硬及肌腱粘连，如受区缺损面积小，供区可直接缝合。
Objective To evaluate the effect of retrograde dorsal fascia pedical flap to repair adjacent digital dorsal defect. Methods 10 cases of patients with skin defect were treated by the retrograde dorsal nerve nutrition blood vessels fascia pedicle skin flap. Results All 10 flaps survived, 8 cases obtained normal digital flexion and extension 1 week after operation because of early rehabititation; 2 cases obtained normal digital flexion and extention after 2 weeks rehabititation. Conclusion Using retrograde digital faseial pedicle flap to repair adjacent digital dorsal defect, can proved early rehabititation, prevent joint stoffness and tendon adhesion, and the small donor defect can be sutured direetly.
出处
《实用手外科杂志》
2015年第1期62-63,共2页
Journal of Practical Hand Surgery
关键词
皮肤缺损
外科皮瓣
指固有神经
Skin defect
Surgical flap
Refers to the inherent neural
