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指动脉
    REPAIRING WOUND OF HAND BY DIGITAL ARTERIAL FLAP WITHOUT DIGITAL NERVE: A RPORT OF 30 CASES
    保留指神经的指动脉皮瓣修复手部创面(附30例报告)
    The vascularization procedures were as follow: anastomosis of the terminal branches of the branches of the terminal digital arterial arch in 4 digits. Anastomosis of the digital artery in 8 digits, anastomosis of the digital vein in 8. The digital nerve was directly sutured in 12 digits.
    吻合指动脉末端分支 8指 ,末端指动脉弓分支 4指 ,吻合指静脉 8指 ,神经直接吻合 12指。
    Application of the Reversed Digital Arterial Dorsal Branch Island Flaps in the Repair of Finger Soft Tissue Loss
    指动脉背侧支逆行岛状皮瓣修复指端缺损的应用
    Wounds of the fingertips were repaired by transferring digital arterial flaps with a dorsal branch of the digital nerve so that the sense of the flap was preserved and the sensory loss of the donor digit was minimized in 16 cases.
    其中16例指端创面采用仅包含指神经背侧分文的指动脉皮瓣进行修复,使转移皮瓣有良好感觉功能。
    The vascularization procedures were as follow: anastomosis of the terminal branches of the digital artery in 15 digits,anastomosis of the branches of the terminal digital arterial arch in 12. Anastomosis of the branches of the digital vein in 14,and arteriovenous anastomosis in 4, nine digits were reattached without repair of the digital veins.
    吻合指动脉末端分支15指,末端指动脉弓分支12指。 吻合指静脉分支14指,动静脉转流4指,未吻合9指。
    Conclusions\ The reversed digital arterial island flap with anastomosing the digital vein and dorsa digita nerve is a safe, and simple technique, which can maintain the finger's normal appearance and reduce the incidence of venous crisis and improve the survival rate of the flap. \;
    结论 缝接指背皮神经带指静脉的指动脉逆行岛状皮瓣切取方便、损伤小、静脉危象发生率低 ,提高了皮瓣的成活质量 ,值得推荐推广。
    Methods\ A total of 79 cases(82 digits)were treated with different flaps,including ①the digital neurovascular pedicled V\|Y advancement flap; ②the reversed dorsoulnar arterial flap of the thumb; ③the reversed digital arterial dorsal branch flap;
    方法应用指神经血管束VY岛状推进皮瓣、拇指尺背侧动脉逆行皮瓣、指动脉背侧支逆行皮瓣、改良Moberg皮瓣、指动脉逆行皮瓣、Hueston皮瓣、指筋膜脂肪翻转瓣、指总神经血管束蒂双翼皮瓣等8种皮瓣修复79例82指指端缺损。
    The flaps were divided into two kinds: ① The flaps were nourished by the main digital arterial branches,including the V-Y island flap based on the digital neurovascular bundles,the reversed digital artery flap,the modified Moberg flap,and the twins flaps based on the digital general neurovascular bundles(flaps ranging in area from 1.5 cm × 2.0 cm);
    将皮瓣分为两大类:①指动脉主干血管营养皮瓣,包括:指神经血管束V-Y岛状提升瓣,指动脉逆行皮瓣,改良M oberg皮瓣和指神经血管束蒂双翼皮瓣,皮瓣范围2.0 cm×1.5 cm;
    Objective: To investigate the treatment outcome of the reversed digital arterial dorsal branch island flaps to the repair of finger soft tissue loss.
    目的:探讨指动脉背侧支逆行皮瓣修复指端软组织缺损的临床效果。
    Method: A total of 10 cases(12 digital)were treated with the reversed digital arterial dorsal branch island flaps.
    方法:应用指动脉背侧支逆行皮瓣修复指端软组织缺损10例12指指端缺损。
    Conclusion: The reversed digital arterial dorsal branch island flaps were particularly helpful for repair of finger and/or fingertip defects.
    结论:指动脉背侧支逆行皮瓣适宜指端缺损的修复。
 

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