远端分叶的前臂骨间背皮瓣修复手背联合指背皮肤缺损

张云飞; 李俊明; 郑水长; 易先达; 李道选; 张龙; 张志敏

doi:10.13406/j.cnki.cyxb.2010.09.017

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远端分叶的前臂骨间背皮瓣修复手背联合指背皮肤缺损

临床研究 | 更新时间：2024-01-17

- 远端分叶的前臂骨间背皮瓣修复手背联合指背皮肤缺损
- Remote sub-leaf posterior interosseous artery forearm flap for coverage of soft tissue defects in the dorsal hand and finger
- 重庆医科大学学报 2010年35卷第9期页码：1433-1434
- 作者机构：
  
  漯河医学高等专科学校第二附属医院骨科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.09.017
  中图分类号： R658.2
- 纸质出版日期：2010，
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[1]张云飞,李俊明,郑水长,易先达,李道选,张龙,张志敏.远端分叶的前臂骨间背皮瓣修复手背联合指背皮肤缺损[J].重庆医科大学学报,2010,35(09):1433-1434+1438.

ZHANG Yun-fei, et al. Remote sub-leaf posterior interosseous artery forearm flap for coverage of soft tissue defects in the dorsal hand and finger[J]. Journal of Chongqing Medical University, 2010,35(9):1433-1434.
[1]张云飞,李俊明,郑水长,易先达,李道选,张龙,张志敏.远端分叶的前臂骨间背皮瓣修复手背联合指背皮肤缺损[J].重庆医科大学学报,2010,35(09):1433-1434+1438. DOI： 10.13406/j.cnki.cyxb.2010.09.017.

ZHANG Yun-fei, et al. Remote sub-leaf posterior interosseous artery forearm flap for coverage of soft tissue defects in the dorsal hand and finger[J]. Journal of Chongqing Medical University, 2010,35(9):1433-1434. DOI： 10.13406/j.cnki.cyxb.2010.09.017.

摘要

目的:总结远端分叶的前臂骨间背皮瓣转移修复手背联合指背皮肤软组织缺损的临床效果。方法:对12例手背联合指背皮肤软组织缺损的患者应用远端分页的前臂骨间背皮瓣逆行转移修复

其中急诊修复4例

延期手术修复12例

皮瓣切取面积约6cm×7cm～9m×12cm

血管蒂长8～10cm。结果:除1例由于蒂部缝合较紧

皮瓣出现瘀血、肿胀

经及时敞开蒂部

油纱湿敷保护

皮瓣转红润

1周后肿胀消退后闭合伤口

皮瓣成活

其余皮瓣均顺利成活

随访3个月～4年

皮瓣外形佳。结论:该类皮瓣不损伤肢体主干血管

皮瓣血运丰富

解剖恒定

血管蒂长

皮下组织较薄

肤色与手背皮肤相近

是修复手背联合指背皮肤缺损的较佳选择。

Abstract

Objective:To evaluate the outcome of using remote sub-leaf posterior interosseous artery forearm flap for coverage of soft tissue defects in the dorsal hand and finger.Methods:According to the size and site of the defects and the pivoting point

the flap was designed and based on the arterial axis

A total of 16 cases of soft tissue defects were treated with this flap.4 cases were repaired through mergency Operation while 12 cases through delayed operation.Results:Postoperatively 15 flaps survived perfectly

Extravasated blood swelling appeared in 1 flap because of more stringent of pedicle suture.Primary healing of the wound achieved in all cases.At 3 months to 4 years follow-up

the appearance of the flaps was good.Conclusion:Posterior interosseous artery flap of the forearm is the treatment of choice for repairing soft tissue defects of the dorsal hand and finger because of its advantages.

关键词

前臂外科皮瓣软组织缺损修复

Keywords

ForearmSurgical flapsSoft tissue defectsRepairing

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