摘要
目的:探讨前臂骨间背侧皮瓣移位修复重度虎口挛缩的手术疗效。方法:对23例重度虎口挛缩的患者进行彻底松解后,应用前臂骨间背侧皮瓣移位进行修复虎口。结果:术后23例皮瓣中22例全部成活,1例术后表皮坏死。换药,脱痂后皮瓣色泽恢复正常。术后随访6个月至2年,皮瓣质地良好,弹性佳,肤色和厚度与受区皮肤接近。虎口开大,优良率达100%。结论:前臂骨间背侧皮瓣是重度虎口挛缩较理想的修复方法。
Objective：To explore the result of reconstruction of severely contracture of the first web space with posteior interosseous artery flap.Methods：from 2006 to2009,23 patients with severely contracture of the first web received treatment of posterior interosseous artery flap,with6 to 24 months clinical observation.Results： The 23 cases were followed up for 6 months to 2 years.22 of 23 flaps survived.but 1 case was partly necrosis.the flaps were soft and elastic.the appearance was satiafactory.the weth of the first web space of 16 patients were more then 90% of comparison,6 patientswere more then 75%.the results were good.Conclusions： posterior interosseous artery flap of forearm is a good choice for repairing severely contracture of the first web the first web space.
出处
《中国民康医学》
2011年第9期1103-1104,1106,共3页
Medical Journal of Chinese People’s Health
关键词
虎口挛缩
前臂骨间背侧皮瓣
显微外科手术
Severely contracture of the first web
Posteior interosseous artery flap
Microsurgical operation
