指固有动脉皮瓣修复手指深度烧伤创面的临床观察

摘要

目的 评估指固有动脉皮瓣修复深度烧伤所导致手指软组织缺损的临床效果.方法 2013年3月-2016年10月,以一侧的指固有动脉为蒂,形成顺行或逆行的带蒂皮瓣旋转修复同指或邻指由于深度烧伤形成的难愈创面24例.术后观察创面修复、皮瓣存活、术后并发症及手指功能的恢复.结果 24例皮瓣全部成活,创面一期修复,皮瓣无坏死,仅5例患者术后皮瓣边缘出现部分循环异常的情况,经换药后痊愈.随访可见所有皮瓣外形良好,皮肤色泽、皮温与弹性正常,供指与受指运动功能良好.结论 指固有动脉皮瓣避免了远位带蒂皮瓣的诸多不足之处,是修复深度烧伤所导致的手指软组织缺损创面的较好方法.%Objective To evaluate the clinical effect of treatment for deep burn wound on finger by proper digital artery flap.Methods From March 2013 to October 2016, 24 patients with deep burn wound on finger were treated by proper digital artery flap.Postoperative observation included wound repair, flap survival, complications and functional recovery of fingers.Results All the 24 flaps survived and no necrosis happened.The marginal abnormal circulation of flap occurred in only 5 cases, which cured by dress changing.All flaps kept well in contour, skin color, temperature and texture.Movement function of donor and recipient fingers was nearly normal.Conclusion Proper digital artery flap avoided the deficiencies distant pedicled flap, so it is a favorite choice for digital soft tissue defect caused by deep burn injury.