Effect of Reconstruction of the Dorsal Branch of the End of the Digital Artery and Reverse Island Flap on the Sensation of the Fingertip Defect Patient
AI Chengbin, et al
Chuxiong Hospital of Traditional Chinese Medicine, Yunnan Chuxiong 675000, China
Abstract：Objective: To explore the influence of reverse island flap pedicled with terminal dorsal branch of digital artery with sense reconstruction for repairing fingertip defects. Methods: From January 2015 to December 2016, 70 patients with finger end defect were treated in our hospital. A total of 78 fingers were used for the reconstruction of the dorsal branch of the terminal dorsal branch of the finger artery. Results: In 5 cases, blisters appeared on the 7 finger-flaps in the third day after operation, healing after symptomatic treatment, the other flaps survived and woundsⅠhealed; After operation, the recovery rate of superficial sensation at 6th month was higher than that at 3rd month and 1st month, and the difference was statistically significant (100.00%, 76.92%,0.00 %,P<0.05); In the 1st month after surgery, all the patients recovered deep pain; In the postoperative 6th month, the two-point discrimination was (5.48±1.14) mm, which was significantly less than that of the postoperative 3rd month; In the postoperative 6th month, the sensory recovery of the flaps was significantly better than that of postoperative 3rd month and 1st month (P<0.05), and the ratio of S4 reached to 23.08%. Conclusion: The reconstruction of sensory end dorsal branch island flap to repair the finger end defect is an effective way to restore the sensation of the skin flap, but it takes a certain time.
艾呈斌, 许鸿智. 重建指动脉终末背侧支行逆行岛状皮瓣修复对指端缺损患者感觉的影响[J]. 河北医学, 2018, 24(8): 1315-1317.
AI Chengbin, et al. Effect of Reconstruction of the Dorsal Branch of the End of the Digital Artery and Reverse Island Flap on the Sensation of the Fingertip Defect Patient. HeBei Med, 2018, 24(8): 1315-1317.
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2018, Vol. 24 
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