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尺动脉腕上皮支上下行支为蒂的前臂逆行岛状皮瓣修复手部缺损 被引量:6

The reverse forearm flap pedicled with the ulnar branch of the ulnar artery
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摘要 目的介绍一种修复手部创面的皮瓣设计。方法尺动脉腕上皮支下行支与腕背动脉弓交通,形成尺动脉腕上皮支上下行支为蒂的前臂逆行岛状皮瓣修复手部缺损。结果2000年4月~2003年10月于临床应用8例,其中修复手背和指背创面3例、手掌创面2例、第1指间隙创面3例。所有皮瓣均成活,伤口一期愈合,外形满意。结论该皮瓣血管蒂长、供区隐蔽。 Objective\ To introduce a new flap for the repair of soft tissue defects in the hand. Methods\ The distally pedicled ulnar flap is based on the ascending branch of the upper\|wrist cutaneous branch of the ulnar artery.The retrograde flow is ensured by the dorsal carpal arch via the descending branch. Results\ From 2000 to 2003,the flap was used to treat 8 cases of hand defects,including 3 dorsal defects,2 palmar defects and 3 the first web defects.All flaps survived and the appearance was satisfactory. Conclusions\ The reverse forearm flap pedicled with the ulnar branch of the nlnar artery provides a long vascular pedicle.The donor site scar is aesthetically acceptable.\;
出处 《中华整形外科杂志》 CAS CSCD 北大核心 2004年第6期428-430,共3页 Chinese Journal of Plastic Surgery
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参考文献3

  • 1Karacalar A, Ozcan M. Preliminary report : the distally pedicled dorsoulnar forearm flap for hand reconstruction . Br J Plast Surg, 1999 ,52: 453-457.
  • 2Holevich-Madjarova B, Paneva-Holevich E, Topkarov V. Island flap supplied by the dorsal branch of the ulnar artery . Plast Reconstr Surg,1991, 87: 562-566.
  • 3Bertelli JA , Pagliei A . The neurocutaneous flap based on the dorsal branches of the ulnar artery and nerve : a new flap for extensive reconstruction of the hand. Plast Reconstr Surg, 1998,101: 1537-1543.

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