正中神经掌侧支与供区桡动脉掌浅支皮瓣的感觉恢复

中华显微外科杂志 Pub Date : 2018-10-25 DOI:10.3760/CMA.J.ISSN.1001-2036.2018.05.008

Cunmin Rong, Yinlong Li, Fang Wang, Baoqiang Xu, Qinglin Zhang, Zhi Zhang, Hongjun Wang

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The results were applied comparative t-test to perform statistical analysis, to observe the sensory recovery of the flap and donor site. \n \n \nResults \nThe flaps survived. Twelve cases was followed-up for 6-18 months. The pressure sensation of about 83.3% of patients recovered after 2 months and 100% of patients recovered after 3 months. The tactile sensation of about 91.7% of patients recovered after 3 months and 100% of patients recovered after 4 months. The pain sensation of about 91.7% of patients recovered after 4 months of and 100% of patients recovered after 5 months. S2-PD of the flap was the average of 8.3 mm in 6 months after operation. There were no significant differences in the S2-PD between the affected group[ (12.08±2.15) mm] and unaffected group[ (10.58±2.11) mm](P>0.05). And the sensory recovery of the control area of the palmar branch of the median nerve was S4 in 2 cases, S3+ in 9 cases, and S3 in 1 case. 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引用次数: 0

摘要

目的探讨正中神经掌侧支和供区桡动脉掌浅支皮瓣的感觉恢复。方法2014年1月至2016年6月，采用正中神经掌支桡动脉掌浅支皮瓣修复手指软组织缺损12例。定期测试皮瓣的2g触觉、5g疼痛感、30g压力感和静态两点辨别（S2-PD）。分别记录患侧和未患侧正中神经掌皮支的S2-PD。结果采用比较t检验进行统计分析，观察皮瓣和供区的感觉恢复情况。结果皮瓣成活。12例随访6～18个月。约83.3%的患者在2个月后压力感觉恢复，100%的患者在3个月后恢复。约91.7%的患者在3个月后触觉恢复，100%的患者在4个月后恢复。约91.7%的患者在4个月后疼痛感恢复，100%的患者在5个月后恢复。术后6个月皮瓣S2-PD平均为8.3mm。病变组S2-PD[（12.08±2.15）mm]与未病变组[（10.58±2.11）mm]差异无统计学意义（P>0.05），正中神经掌支控制区感觉恢复S4 2例，S3+9例，S3 1例。感觉恢复良好。结论带正中神经掌支的桡动脉掌浅支皮瓣可用于修复手指皮肤缺损。皮瓣感觉恢复良好，供区感觉逐渐恢复。关键词：桡动脉掌浅支皮瓣；正中神经掌支；Figer；感觉重建

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The sensation recovery of superficial palmar branch of the radial artery flap with palmar branch of median nerve and donor site

Objective To explore the sensation recovery of superficial palmar branch of the radial artery flap with palmar branch of median nerve and donor site. Methods From January, 2014 to June, 2016, 12 cases of finger soft tissue defects were repaired with superficial palmar branch of the radial artery flap with palmar branch of median nerve. The 2 g tactile sensation, 5 g pain sensation, 30 g pressure sensation and static two-point discrimination(S2-PD) of the flap was tested regularly. The S2-PD of the palmar cutaneous branch of the median nerve were recorded respectively on the affected side and the unaffected side. The results were applied comparative t-test to perform statistical analysis, to observe the sensory recovery of the flap and donor site. Results The flaps survived. Twelve cases was followed-up for 6-18 months. The pressure sensation of about 83.3% of patients recovered after 2 months and 100% of patients recovered after 3 months. The tactile sensation of about 91.7% of patients recovered after 3 months and 100% of patients recovered after 4 months. The pain sensation of about 91.7% of patients recovered after 4 months of and 100% of patients recovered after 5 months. S2-PD of the flap was the average of 8.3 mm in 6 months after operation. There were no significant differences in the S2-PD between the affected group[ (12.08±2.15) mm] and unaffected group[ (10.58±2.11) mm](P>0.05). And the sensory recovery of the control area of the palmar branch of the median nerve was S4 in 2 cases, S3+ in 9 cases, and S3 in 1 case. The sensory recovery was good. Conclusion Superficial palmar branch of the radial artery flap with palmar branch of median nerve can be used repair the skin defect of the fingers. The flap has a good sensery recovery, and the sensation of the donor area is gradually restored. Key words: Superficial palmar branch of radial artery flap; Palmar branch of median nerve; Figer; Sensation reconstruction

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来源期刊

中华显微外科杂志

CiteScore

0.50

自引率

0.00%

发文量

6448

期刊介绍： Chinese Journal of Microsurgery was established in 1978, the predecessor of which is Microsurgery. Chinese Journal of Microsurgery is now indexed by WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 1.731 in 2017, ranking the third among all journal of comprehensive surgery. The journal covers clinical and basic studies in field of microsurgery. Articles with clinical interest and implications will be given preference.