摘要
目的探讨各种带蒂皮瓣对手部皮肤软组织缺损合并肌腱、神经、血管及骨外露修复的临床效果。方法对360例不同原因、不同部位、不同程度的手部皮肤软组织缺损合并肌腱骨外露的病人,分别应用带血管神经蒂食指背侧岛状皮瓣、掌背动脉岛状皮瓣、桡神经浅支营养血管皮瓣、尺动脉腕上支皮瓣、骨间背侧岛状皮瓣等方法进行修复。结果经6个月-4年随访,供区及受区无溃疡,无明显色素沉着,外观良好,感觉均有不同程度恢复。结论带蒂皮瓣对手部皮肤软组织缺损合并肌腱骨外露的修复技术具有操作灵活,相对游离皮瓣简单,成功率高,修复后组织结构、厚度、韧性、色泽与原组织相近,能最大程度恢复手部的外观、功能,创伤小,对生活护理小。但对手指缺损要求再造、带蒂皮瓣无法覆盖创面及无可用的带蒂皮瓣修复创面等病例,游离皮瓣仍有无可替代的作用。
Objective To discuss clinical results of the repair of soft tissue defect of the hands with all kinds of pedicle tissue flap. Methods From 1998 to 2006, 360 cases were treated with pedicle tissue flaps; include the index finger island flap, island flap with pedicle of dorsal metacarpal artery, skin flap with superficial branch of radial nerve, flap of suprawrist cutaneous branch of ulnar artery, ulnar artery flap, and V - Y advancement flap. Results After 6 months to 4 years following - up, both donor and recipient site are good effect and appearance and function are satisfactory. Conclusion The pedicle tissue flap to repair of soft tissue defect of the hand is an operation of choice with minor injury in donor site and good effect in recipient site, the operation was simple and safe.
出处
《宁夏医学杂志》
CAS
2007年第8期692-693,共2页
Ningxia Medical Journal
关键词
手
显微外科
带蒂组织皮瓣
Hand
Microsurgery
Pedicle tissue flap
