实用手外科杂志2024,Vol.38Issue(4) :439-441,445.DOI:10.3969/j.issn.1671-2722.2024.04.004

骨间背侧动脉桡侧穿支皮瓣修复手指软组织缺损的临床疗效

Clinical observation of the therapeutic effect of repairing finger defects with the radial perforator flap of the dorsal interosseous artery

范爱民 王诗峰 高欣 沈卡 谢金峰 周子凡 何志
实用手外科杂志2024,Vol.38Issue(4) :439-441,445.DOI:10.3969/j.issn.1671-2722.2024.04.004

骨间背侧动脉桡侧穿支皮瓣修复手指软组织缺损的临床疗效

Clinical observation of the therapeutic effect of repairing finger defects with the radial perforator flap of the dorsal interosseous artery

范爱民 1王诗峰 1高欣 1沈卡 1谢金峰 1周子凡 1何志1
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作者信息

  • 1. 镇江市359医院手足显微外科,江苏镇江 212000
  • 折叠

摘要

目的 探讨骨间背侧动脉桡侧穿支皮瓣修复手指软组织缺损的临床疗效.方法 选取2019年3月-2023年12月镇江市359医院收治的手指软组织缺损患者62例,均采用骨间背侧动脉桡侧穿支皮瓣修复,观察术中情况及术后皮瓣温度、疼痛程度及关节活动度等指标.结果 62例手指缺损患者皮瓣供区均直接缝合.术后随访5~12个月,平均7.5个月,皮瓣全部成活.术后1周、2周、3个月、6个月、1年患者的皮瓣温度、VAS评分、关节活动度(掌屈、背伸)比较,差异均有统计学意义(P<0.05).结论 骨间背侧动脉桡侧穿支皮瓣修复术治疗手指软组织缺损具有一定的应用优势,不仅皮瓣血运好,成活率高,而且还可促进患指功能、感觉快速恢复,减轻术后疼痛症状,值得临床推广.

Abstract

Objective To explore the clinical efficacy of repairing finger defects with the radial perforator flap of the dorsal interosseous artery.Methods A total of 62 patients with finger soft tissue defects admitted to our hospital from March 2019 to December 2023 were selected,all of whom were repaired using the radial perforator flap of the dorsal interosseous artery.The intraoperative conditions and postoperative skin flap temperature,pain level,and joint range of motion were observed.Results All 62 patients with finger defects were directly sutured in the flap donor area.Followed up for 5-12 months postoperatively,with an average of 7.5 months,resulted in 62 skin flaps surviving with a survival rate of 100%.The differences in skin flap temperature,VAS score,and joint range of motion(palm flexion,back extension)among patients at 1 week,2 weeks,3 months,6 months,and 1 year after surgery were statistically significant(P<0.05).Conclusion The repair of the radial perforator of the dorsal interosseous artery flap has certain application advantages in the treatment of finger defects.It not only has good blood supply to the flap and a high survival rate,but also promotes rapid recovery of finger function and sensation in patients,reduces postoperative pain symptoms,and is worthy of clinical promotion.

关键词

手指缺损/骨间背侧动脉/桡侧穿支/皮瓣修复

Key words

Finger defect/Interosseous dorsal artery/Radial perforating branch/Flap repair

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出版年

2024
实用手外科杂志
沈阳市手外科研究所

实用手外科杂志

影响因子:0.584
ISSN:1671-2722
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