前臂背侧骨间动脉穿支逆行岛状皮瓣修复手部皮肤软组织缺损的临床观察

前臂背侧骨间动脉穿支逆行岛状皮瓣修复手部皮肤软组织缺损的临床观察作者：欧阳阳钢王洁刘瑞祥等来源：《中国当代医药》2015年第16期[摘要] 目的观察前臂背侧骨间动脉逆行岛状皮瓣修复手部皮肤软组织缺损的临床疗效。

方法选择本院2013年1月～2014年5月收治的65例手部皮肤软组织缺损患者为研究对象，均接受皮瓣修复治疗，其中前臂背侧骨间动脉穿支逆行岛状皮瓣修复35例，为观察组，任意型皮瓣修复30例，为对照组，比较两组皮瓣存活率、手功能恢复、并发症及手术前后VAS （视觉模拟评分法）评分情况。

结果观察组皮瓣存活率、并发症发生率分别为100.00%、2.86%，与对照组的86.67%、20.00%比较，差异有统计学意义（P0.05）。

结论前臂背侧骨间动脉穿支逆行岛状皮瓣修复术具有皮瓣存活率高、减轻患者疼痛、并发症少等特点，可作为手部皮肤软组织缺损治疗有效手段。

[关键词] 前臂背侧骨间动脉穿支逆行皮瓣；修复；岛状皮瓣；手部皮肤软组织缺损[中图分类号] R758.19 [文献标识码] A [文章编号] 1674-4721（2015）06（a）-0030-03Clinical observation of forearm posterior interosseous artery flap on repair of hand skin and soft tissue defect with reverse islandOUYANG Yang-gang1 WANG Jie2 LIU Rui-xiang1 HUANG Xiao-yu1 CHEN Xian11.Department of Hand Surgery，People′s Hospital in Longhua New District of Shenzhen City，Shenzhen 518109，China；2.Department of Gynecology and Obstetrics，People′s Hospital in Longhua New District of Shenzhen City，Shenzhen 518109，China[Abstract] Objective To observe the clinical effect of forearm posterior interosseous artery flap on repair of hand skin and soft tissue defect with reverse island. Methods 65 patients with hand skin and soft tissue defect in our hospital from January 2013 to May 2014 were selected as research objects.They were provided with skin flap repair.Among them，35 cases undergone forearm posterior interosseous artery flap with reverse island were classified into observation group，and the rest treated by random forearm flap were categorized into control group.The survival rate of skin flap，recovery of hand function，occurrence of complications，and score of visual analogue scale （VAS） before and after surgery between two groups was compared respectively. Results The survival rate of skin flap and incidence of complications in observation group were 100.00% and2.86%，while in control group，the rates were 86.67% and 20.00%，with statistical difference（P0.05）. Conclusion At advantages of high survival rate of skin flap，alleviation of patient′ssuffering，and few complications，forearm posterior interosseous artery flap repair with reverse island is considered as an effective means on treating hand skin and soft tissue defect.[Key Words] Dorsal interosseous artery perforator flap；Repair；Island flap；Hand skin and soft tissue defect前臂背侧骨间动脉穿支逆行岛状皮瓣修复手部皮肤软组织缺损的临床观察欧阳阳钢1 王洁2 刘瑞祥1 黄晓瑜1 陈先11.深圳市龙华新区人民医院手外科，深圳 518109；2.深圳市龙华新区人民医院妇产科，深圳 518109[摘要] 目的观察前臂背侧骨间动脉逆行岛状皮瓣修复手部皮肤软组织缺损的临床疗效。

方法选择本院2013年1月～2014年5月收治的65例手部皮肤软组织缺损患者为研究对象，均接受皮瓣修复治疗，其中前臂背侧骨间动脉穿支逆行岛状皮瓣修复35例，为观察组，任意型皮瓣修复30例，为对照组，比较两组皮瓣存活率、手功能恢复、并发症及手术前后VAS （视觉模拟评分法）评分情况。

结果观察组皮瓣存活率、并发症发生率分别为100.00%、2.86%，与对照组的86.67%、20.00%比较，差异有统计学意义（P0.05）。

结论前臂背侧骨间动脉穿支逆行岛状皮瓣修复术具有皮瓣存活率高、减轻患者疼痛、并发症少等特点，可作为手部皮肤软组织缺损治疗有效手段。

[关键词] 前臂背侧骨间动脉穿支逆行皮瓣；修复；岛状皮瓣；手部皮肤软组织缺损[中图分类号] R758.19 [文献标识码] A [文章编号] 1674-4721（2015）06（a）-0030-03Clinical observation of forearm posterior interosseous artery flap on repair of hand skin and soft tissue defect with reverse islandOUYANG Yang-gang1 WANG Jie2 LIU Rui-xiang1 HUANG Xiao-yu1 CHEN Xian11.Department of Hand Surgery，People′s Hospital in Longhua New District of Shenzhen City，Shenzhen 518109，China；2.Department of Gynecology and Obstetrics，People′s Hospital in Longhua New District of Shenzhen City，Shenzhen 518109，China[Abstract] Objective To observe the clinical effect of forearm posterior interosseous artery flap on repair of hand skin and soft tissue defect with reverse island. Methods 65 patients with hand skin and soft tissue defect in our hospital from January 2013 to May 2014 were selected as research objects.They were provided with skin flap repair.Among them，35 cases undergone forearm posterior interosseous artery flap with reverse island were classified into observation group，and the resttreated by random forearm flap were categorized into control group.The survival rate of skin flap，recovery of hand function，occurrence of complications，and score of visual analogue scale （VAS） before and after surgery between two groups was compared respectively. Results The survival rate of skin flap and incidence of complications in observation group were 100.00% and 2.86%，while in control group，the rates were 86.67% and 20.00%，with statistical difference （P0.05）. Conclusion At advantages of high survival rate of skin flap，alleviation of patient′s suffering，and few complications，forearm posterior interosseous artery flap repair with reverse island is considered as an effective means on treating hand skin and soft tissue defect.[Key Words] Dorsal interosseous artery perforator flap；Repair；Island flap；Hand skin and soft tissue defect。