摘要
目的介绍一个新的皮瓣供区一一前臂背桡侧逆行筋膜蒂岛状皮的瓣的临床应用价值．方法以骨间后动脉桡侧支为轴型血管设计前臂背桡侧逆行的膜蒂岛状皮瓣修复手部软组织缺损８例，皮瓣面积６ｃｍ×３ｃｍ～１４ｃｍ×６ｃｍ．结果８个皮瓣全部成活，创口一期愈合．结论前臂背桡侧皮具有血供丰富，切取方便，损伤小，皮瓣质地佳，可制成感觉皮瓣等优点．逆行转位可修复腕、手部的皮肤缺损，其旋转弧可达近指关节．
Objective:To study the anatomic rules and the feasibility of clinical application of radial branch of posterior interosseous artery.Methods:To dissect and observe the origin,course,penetrating point and vessel anatmosis of radial branch of posterior interossesous on 46 adult upper limbs specimens.Application in 8 cases of soft tissue defect of hand,whose flap area were 6cm×3cm～14cm×6cm.Results:The existant rate of the radial branch of interoseous artery was 80.4%(37/46).Radial recurrent descending branch existed compensaterily when the radial branch was not present(19.6%;9/46).Both pentrated the facia within a circle of 5mm in radius centeral at point A the midpoint on a line joining the lateral the of epicondyle of the humerus and Lister's tubercle between extensor digtorum communis and extensor carpi radialis longus.Distally,the vessel anastomosis with the radial osseous branch of carpel dorsal branch of anterior in terosseous artery,which was the anatomic basis of the retrogradeis land flaps.Conclusion:The radial branch of posterrior interosseous arery was the intermusuclar vessel.It could be used to design responsibility flaps to repair the skin defect of palm dorsum and first reb.All the clinical application of 8 cases is successful.
出处
《温州医学院学报》
CAS
1999年第1期19-20,共2页
Journal of Wenzhou Medical College
