摘要
目的探讨应用带蒂前臂骨间背侧皮瓣移位修复前臂或腕背部及虎口区皮肤缺损的临床疗效。方法对25例皮肤缺损(前臂4例,腕背部6例,手背至虎口区15例)的患者,应用带蒂前臂骨间背侧皮瓣移位进行修复。其中急诊皮肤缺损创面21例,瘢痕切除皮肤缺损创面4例。结果术后25例皮瓣全部存活,伤口均Ⅰ期愈合。术后随访6～12个月,皮瓣质地好,肤色与厚度均与受区正常皮肤接近,伸肌腱粘连不明显,伸指功能基本恢复。结论对前臂至腕背部的皮肤缺损,应用前臂骨间背侧皮瓣转移修复是优先的选择。
Objective To evaluate the outcome of using posterior interosseous artery forearm flap for coverage of soft tissue defects in the forearm, dorsal wrist, and first web space. Methods According to the size and site of the defects and the pivoting point, the flap was designed and based on the arterial axis. A total of 25 cases of soft tissue defect （4 in the forearm, 6 in the dorsal wrist, 15 at the dorsum of the hand and first web space） were treated with this flap. 21 cases were defects caused by acute trauma while 4 cases were defects following scar excision. Results Postoperatively all flaps survived. Primary healing of the wound achieved in all cases. At 6 to 12 months follow-up, the appearance of the flaps was good, with similar color and thickness to the recipient area. There was no obvious extensor tendon adhesion. Finger extension recovered to near normal. Conclusion Posterior interosseous artery flap of the forearm is the treatment of choice for repairing soft tissue defects of the dorsal hand and forearm.
出处
《中华手外科杂志》
CSCD
北大核心
2006年第5期303-304,共2页
Chinese Journal of Hand Surgery
关键词
手损伤
前臂
外科皮瓣
软组织缺损
Hand injuries
Forearm
Surgical flaps
Soft tissue defects
