摘要
目的 介绍应用桥式血管吻合的股前外侧皮瓣移植治疗伴有尺桡血管长段缺损的前臂严重毁损伤。方法 对5例前臂严重毁损、尺桡血管长段缺损(6～8cm)患者,采用股前外侧皮瓣移植,修复组织缺损。术时将旋股外侧血管降支近端和尺动脉或桡动脉及其伴行静脉近端吻合,远端和尺动脉或桡动脉及其伴行静脉远端吻合。皮瓣面积为20cm×11cm、16cm×9cm、18cm×12cm、13cm×10cm、20cm×8cm。结果 5块皮瓣全部存活。术后随访5.5个月,皮瓣外观满意,弹性好。结论 该术式在覆盖前臂大面积皮肤缺损的同时修复了尺桡血管的长段缺损,操作简单,疗效比较满意,具有较大的推广应用价值。
Objective To introduce the anterolateral femoral flap using bridge-like vascular anastomosis for
treatment of severe damaged injury in forearm with long defects of radial and ulnar artery. Methods Five patients with
long defects of ulnar and radial anery in the foream were involved. The anterolateral femoral flap was used to cover the
tissue defect. The proximal part of descending branch of circuflex femoral lateral artery was anastomosed with the
proximal part of the ulnar or radial artery and its correponding veins, and the distal part with the proximal part of the
ulnar or radial artery and its corresponding veins. The flap areas were 20cm×11cm, 16cm×9cm, 18cm×12cm,
13cm×10cm,20cm×8cm, respectively. Results All flape survived. On 5.5 months follow-up, the appearance and
elasticity of the flap was satisfactory. Conclusion The procedure not only can cover large area defects in forearm but
also bridge long defect of the radial and ulnar artery. The simple procedure can obtain satisfactory result.
出处
《中华手外科杂志》
CSCD
2004年第2期79-80,共2页
Chinese Journal of Hand Surgery
基金
浙江省医药卫生科学研究基金(2002B069)
