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时间:2018-05-24
《前臂逆行骨间背动脉皮瓣修复手掌及虎口皮肤软组织缺损》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、前臂逆行骨间背动脉皮瓣修复手掌及虎口皮肤软组织缺损 DOI:10.3760/cma.j.issn.1671-0282.2014.08.018作者单位:510080广州,广州广东省人民医院广东省医学科学院整形周围血管外科通信作者:袁伟伟,Email:yww3229@hotmail.com【摘要】目的总结前臂逆行骨间背动脉皮瓣修复手掌及虎口皮肤软组织缺损的方法,并提出手术要点。访法2008-2013年,采用骨间背动脉皮瓣逆行转移修复手掌部、虎口处皮肤软组织缺损20例。骨间背侧动脉在前臂深浅两层伸肌间下行,发出5~13条皮支营养前臂背侧皮肤。该皮瓣切取范围大,血运好,成活率高。
2、结果本组应用20例骨间背侧动脉皮瓣修复手掌、虎口处皮肤软组织缺损,皮瓣全部成活,均收到良好效果。结论该皮瓣保留上肢血供的二条主要动脉,皮瓣的血供丰富,根据皮瓣的切取范围大小,供区可直接缝合或游离植皮,术后供区的外观和功能影响小。【关键词】骨间背侧动脉;皮瓣;修复;逆行;手外伤;软组织;组织缺损Forearmskinflapwithdorsalinterosseousarterytransplantedinreversalpositiontorepair9theskinandsofttissuedefectofpalmandthumbYuanWeiwei,KuangBin,Z
3、haoChengli.Departmentofplasticandperipheralvascularsurgery.GuangdongGeneralHospital、GuangdongAcademyofMedicalSciences,Guangzhou510080,ChinaCorrespondingauthor:YuanWeiwei,Email:yww3229@hotmail.com【Abstract】ObjectiveTosummarizethemethodofforearmskinflapwithdorsalinterosseousarteryplacedbytur
4、ningtheproximalendoftheflaptothedistalsideofthewoundtorepairskinandsofttissuedefectofpalmandthumbofhand,andputforwardthekeypointsofoperation.MethodsFrom2008to2013,theforearmskinflapwithinterosseousdorsalarterytorepairskinandsofttissuedefectofpalmandthepartbetweenthumbandindexfingerin20case
5、s.Dorsalinterosseousarteryintheforearmispassingthroughbetweensuperficialanddeeplayersofextensormusclesandsendsout5-13cutaneousbranchestodorsalantebrachiumskin.Thelargeskinflaphasgoodbloodsupplywithhighsurvivalrate.ResultsAllflapssurvived,andgood9resultswereachievedinall20cases.ConclusionTh
6、eflappreservedtwomainarteriesfromupperlimbwithgoodbloodsupply,andtheamountofbloodsupplyoftheflapdependedonthesizeofflap,andthewoundofdonorsitecanbedirectlysutureduporcoveredwithfreeskingraft,thusminimizingthealterationofappearanceandfunctionofdonorarea.【Keywords】Dorsalinterosseousartery;Sk
7、inflap;Rehabilitate;Retrograde;Handwound;Parenchyma;Tissuedefect外伤后手掌、虎口处的皮肤软组织缺损,在修复后要求耐磨及防治挛缩,应选用皮瓣修复。2008-2013年,本科采用骨间背动脉皮瓣逆行转移修复手掌部、虎口处皮肤软组织缺损20例。现报道如下。1资料与方法1.1一般资料本组男性17例,女性3例。年龄15~40岁。虎口瘢痕挛缩并拇指内收5例。拇指近节掌侧和虎口软组织缺损3例。手掌部皮肤软组织缺损12例。20例中切取皮瓣的大小面积为6cm×4cm~12
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