带蒂真皮下血管网薄皮瓣修复手部创面

目的：观察分析了带蒂的含真皮下血管网的薄皮瓣修复治疗手部皮肤缺损创面的应用疗效。方法：对不同病因引起的手部皮肤缺损创面38例应用胸部或腹部带蒂的含真皮下血管网薄皮瓣修复治疗，术后7—8d断蒂。结果：断蒂后皮瓣无坏死，随访3个月—1年，手部修复区皮肤平整，色泽好，外观及功能均满意。结论：应用带蒂含真皮下血管网薄皮瓣修复治疗手部皮肤缺损是一种理想的方法。

To repair the hand raw surface with thin skin pedicle flap with subdermal plexus

Objective:To review and analyze the clinical effect of the treatment of hand raw surface defect with thin pedicle flap with subdermal plexus. Methods:Thirty-eight patients with hand skin raw surface defect were treated by repairing the raw surface with thin pedicle flaps with subdermal plexus from abdomen and chest wall, the pedicles were amputated 7 to 8 days after the operation. Results:The flaps survived without necrosis after the pedicles were amputated.During the follow-up of 3 months to 1 year,the repaired skin of hands was plain and the color was good ,the aspect and function were satisfying. Conclusion: It is an ideal method to repair the skin defect of hand with skin pedicle flap with subdermal plexus.