摘要
目的探讨应用改良鼻烟窝皮瓣治疗腕手部桡侧皮肤软组织缺损的手术方法。方法用红色乳胶灌注20侧成人上肢标本,观察桡动脉在鼻烟窝段的分支外径、长度、行径及伴行静脉与神经的关系,并以此为基础,以桡骨茎突为旋转点设计改良鼻烟窝皮瓣,临床应用治疗腕手部桡侧皮肤软组织缺损18例,术后随访1-6个月,平均4个月。结果皮瓣全部成活,1例出现远端部分表皮坏死,经换药后愈合,皮瓣质地柔软,血运良好。结论应用改良鼻烟窝皮瓣治疗腕手部桡侧皮肤软组织缺损具有操作简便、安全、质地薄、无需再次整形等优点,较传统的鼻烟窝皮瓣扩大了修复的面积,是一种较好的修复方法。
Objective To discuss the method of repairing of soft tissue defect in radialis wrist-hands with upgrade snuff-box flap.Methods External diameter and extent behavior and nerve relationship of radial artery branch in snuff-box which were observed in 20 adult cadavers upper extremities.snuff-box flap were designed swivel to radial malleolus.the methods were designed on the basis of the anatomical characteristics.18 cases of soft tissue defect in radialis wrist-hands were treated by use of upgrade snuff-box flap,All cases were followed up 1-6 months and average 4 months.Results The flaps totally survived in 18 cases.the other one in pars cuticle was necrosis which was healed to dress a wound again.the appearance and function was satisfactory.Conclusion The upgrade snuff-box flap can be maded easily with a bundant blood,good sensation,and aviod the second reshaping operations.So it is perfecter and simple surgical procedure for the repair of soft tissue defect in radialis wrist-hands than tradition procedure.
出处
《重庆医学》
CAS
CSCD
北大核心
2010年第20期2746-2747,2850,共3页
Chongqing medicine
基金
中山市科技局基金资助项目(20082A163)
关键词
改良
鼻烟窝皮瓣
组织缺损
upgrade
snuff-box flap
soft tissue defect
