前臂背桡侧穿支皮瓣游离移植修复手指软组织缺损.PDF

· 生丝至处型盘查!Q塑生!旦筮箜鲞箜2塑鱼i!』墅i塾望：鲤j!!Q塑：塑：堑：盟!：2 ·7l ·皮瓣· 前臂背桡侧穿支皮瓣游离移植修复 手指软组织缺损 高伟阳 张峰李志杰 李晓阳 蒋良福 虞庚 【摘要】 目的报告前臂背桡侧穿支皮瓣的手术方法和临床疗效。方法设计前臂背桡侧穿 支皮瓣游离移植，修复手指皮肤软组织缺损，临床应用17例20指。结果20块皮瓣全部存活。12 例获得3～12个月的随访．5例失访。皮瓣外观不臃肿；修复指背者，皮瓣色泽接近受区，但修复指 腹者皮瓣色泽与受区有差异。修复指腹并缝合指神经者9例10指．其中获得9～12个月随访者6 例，皮瓣感觉恢复均达S，两点分辨觉为8～12舢。所有供区创面均直接缝合，仅遗留线状瘢痕。 结论前臂背桡侧穿支皮瓣血管人皮点恒定，血管蒂口径能满足吻合的要求。修复手指外观满意， 通过缝合指神经能恢复良好感觉。 【关键词】外科皮瓣：指损伤；显微外科手术 Freeradiodorsalforearm inthe{realng疆tofsofttissuedefectof perforator the伍l船rGAO flap{1瓢llsfer ％一嬲，Z删GFeng，￡』肺班，￡』Xiao-yang，m们t姗,-fu，砌诬增．脚咖删够HandSurgery， the WenzhouMedical 32勉7，China Second，4俐妇以Hospitalof oZ妇，Zhejiang Correspondingauthor：ZJ霸ⅣGFeng．Email：zfchi舢测@yahoo．corn．crt Tointroducethe andclinicalresultsofIaIdiodo隔日lforearm 【Abstract]Objective surgicaltechniques forearm Wg-q MethodsRadiodorsal andharvestedforfreetrallsferto p既f址orflap． perforatornap designed coversofttissuedefectofthe totalof20 were in20 of17eAlse．8． fingers．A flaps apphedclinicallyfingers ResultsAll20 survived．Twelvecaseswercfollowedfor3to12months．FivePALqe8werelostforfollow flaps were ofthe tothatofthe indorsal thin．1hecolor napswasclosed recipiemsites defects． up．仉flaps finger ButthereWasadifferencei／I whenthe usedtocoverDalmar was color was finger flap defects．皿屺flapemployed toreconstruct with nerve in10 of9