腹部真皮下血管网皮瓣修复手部皮肤缺损

目的:探讨修复手部皮肤缺损的治疗方法。方法:应用腹部真皮下血管网皮瓣修复手部皮肤缺损共77例105块皮瓣。结果:77例105块皮瓣全部成活,术后随访4个月~10年。皮瓣感觉恢复:S0级9块,S1级89块,S2级7块。手功能评定:优62例,良7例,差8例,优良率达89.6%。结论:应用腹部真皮下血管网皮瓣修复手部皮肤缺损是一种理想的选择,手术操作简单,效果好,供区损伤小,对手功能的恢复具有较好的临床价值。

Repairing skin defects at the hand by abdominal flap with subderminal plexus of vessels

Objective:To study a surgical procedure for repairing skin defects at the hand.Methods:From March 1993 to October 2005,skin defects at the hand,in 77 patients including 105 flaps,were covered by abdominal flaps with subderminal plexus of vessels.Results:105 abdminal subderminal plexus of vessels were all surived.Followed up for 4 months to 10 years,the appearances of these flaps were satisfied.According to the criteria of Chinese Hand Surgery Sociaty,the function of the hand were evaluated,and 89.6% were excellent and good.Conclusions:The abdominal flap with subderminal plexus of vessels,which is achievd simple and has minimal donor site morbidity,is an ideal option for repairing skin defects at the hand.