摘要
手部软组织缺损，由于功能及外形的特殊性需要薄型皮瓣修复。１９９２年以来，采用８种薄型皮瓣修复手部软组织缺损３７例，其中腹壁下皮瓣８例，脐旁皮瓣８例，肋间皮瓣５例，旋髂浅动脉皮瓣４例，胸三角皮瓣４例，锁骨下皮瓣３例，胸肩峰皮瓣３例，大鱼际皮瓣２例。术后皮瓣全部成活，均获得满意功能及外形。介绍了薄型皮瓣的特点，与传统带蒂皮瓣和真皮下血管网皮瓣相比，具有手术难度低、操作简便及成功率高等优点。讨论了各种皮瓣的选择原则，并提出了薄型皮瓣修复手部软组织缺损尚需进一步研究解决的问题。
To meet the special need of function and cosmetics, thin skin flap was used in repair of skin defect of hand. It was reported that 37 cases with skin defect of hand had been treated since 1992. Eight kinds of flaps were used, inclulding sub abdominal flap (in 8 cases), paraumbilical flap (in 8 cases), intercostal flap (in 5 cases), subclavicular flap (in 3 cases), thoracoacromial flap (in 3 cases), trigonum clavopectoral flap (in 4 cases), thenal flap (in 2 cases) and pedicled flap carrying superficial iliac circumflex artery (in 4 cases). All of defects were treated by one stage operation. The size of the flaps used ranged from the minimum of 1.2 cm×2.5 cm to the maximum of 10 cm×16 cm. All the flaps were survived. The function and appearance of the hands were satisfactory. It was noted that thin skin flap had developed from conventional pedicled flap and subcorium vascular net flap, but it was easy to perform and had a high rate of success. The principle in choosing the flap was also discussed. It was suggested that more attention should be concentrated to solve the problems encountered in the use of thin skin flap in the repair of skin defect.
出处
《中国修复重建外科杂志》
CAS
CSCD
1997年第6期353-355,共3页
Chinese Journal of Reparative and Reconstructive Surgery
