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指神经端侧吻合的指动脉逆行岛状皮瓣修复指端缺损

Repair of finger defect wiht reverse digital artery bland flap combined with digital nerve by end to side anastomosis

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【作者】 黄亚增张帆金永明

【Author】 HUANG Ya-zeng ZHANG Fan JIN Yong-ming Department of Orthopedics,Zhejiang Provincial Hospital,Hangzhou 310014,China

【机构】 浙江省人民医院骨科浙江省人民医院骨科

【摘要】 目的探讨指神经端侧吻合的指动脉逆行岛状皮瓣修复指端缺损、重建指尖皮肤感觉功能的临床效果。方法利用指动脉逆行岛状皮瓣修复指端缺损57例65指,均采用指神经端侧吻合恢复指尖感觉神经支配。结果57例65指均Ⅰ期成活,指腹饱满,外观理想,耐磨性好,两点辨别觉满意。结论端侧吻合指神经的指动脉逆行岛状皮瓣修复指端缺损简单有效。

【Abstract】 Objective To investigate role of reverse digital artery island flap combined with dig- ital nerve end to side anastomosis.Methods Reverse digital artery island flaps were used for recon- struction of 65 fingertip defects in 57cases,in which the restoration of the flap sense was attained via dig- ital nerve end to side anastomosis.Results After primary repair,all flaps survived,with good appear- ance and wear-resisting as well as satisfactory two-point discriminations.Conclusion Digital artery re- verse island flap combined with digital nerve end to side anastomosis is a simple and effective procedure for repair of finger defect.

  • 【文献出处】 中华创伤杂志 ,Chinese Journal of Trauma , 编辑部邮箱 ,2006年06期
  • 【分类号】R658.2
  • 【被引频次】5
  • 【下载频次】64
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