张涛 王小磊 赵亮

    [摘要]目的：分析改良掌背動脉皮支筋膜蒂皮瓣对手指近、中节皮肤软组织缺损的修复效果。方法：连续纳入2018年1月-2019年12月笔者医院收治的20例手指近、中节皮肤软组织缺损患者，缺损面积1.0 cm×2.0 cm～2.0 cm×3.0 cm，均采用改良掌背动脉皮支筋膜蒂皮瓣进行修复，皮瓣面积1.2 cm×2.2 cm～2.2 cm×3.2 cm。术后随访观察皮瓣存活及供区愈合情况，对手功能进行评价。结果：本次随访时间(7.38±1.69)个月;20例皮瓣均成活，皮瓣血运良好，皮瓣的质地及外形较好;18例供区一级愈合，2例供区再处理后愈合;皮瓣两点辨别觉距离为(7.16±1.04)mm;手功能8例优，7例良，5例可。结论：改良掌背动脉皮支筋膜蒂皮瓣对手指近、中节皮肤软组织缺损的修复效果显著，安全可靠。

    [关键词]皮肤软组织缺损;手指;掌背动脉;筋膜蒂皮瓣;改良方法

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2022)05-0039-03

    Effect of Modified Dorsal Metacarpal Artery Cutaneous Branch Fascial Pedicle Flap in Repairing Skin and Soft Tissue Defects of Proximal and Middle Fingers Segments

    ZHANG Tao，WANG Xiaolei，ZHAO Liang

    (Department of Hand Surgery，Beijing Shunyi District Hospital，Beijing 101300，China)

    Abstract： Objective? To discuss the repair effect of modified dorsal metacarpal artery cutaneous branch fascial pedicle flap in soft tissue defect of proximal and middle finger segments.? Methods? 20 patients with skin and soft tissue defect of proximal and middle finger segments who were continuously included in our hospital from January 2018 to December 2019 ......