中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2012年
5期
325-328
,共4页
前臂损伤%外科皮瓣%显微外科手术
前臂損傷%外科皮瓣%顯微外科手術
전비손상%외과피판%현미외과수술
Forearm injuries%Surgical flaps%Microsurgery
目的 探讨临床应用前臂后外侧中段穿支皮瓣修复前臂下段背侧皮肤缺损的可行性.方法 通过对30侧尸体红色乳胶灌注进行解剖,研究前臂后外侧中段穿支皮瓣血供的起源、走行、分支、外径、分布及其吻合情况,在前臂后外侧设计切取前臂后外侧中段穿支皮瓣,转移修复前臂下段背侧皮肤缺损8例.结果 8例前臂后外侧中段的穿支皮瓣全部成活,创面一期愈合,获2～28个月随访,皮瓣色泽接近正常,质地和外形良好.结论 前臂后外侧中段穿支皮瓣是一血管相对恒定,血供丰富的非主干血管为蒂的轴型皮瓣,是修复前臂下段背侧缺损创面的理想方法之一.
目的 探討臨床應用前臂後外側中段穿支皮瓣脩複前臂下段揹側皮膚缺損的可行性.方法 通過對30側尸體紅色乳膠灌註進行解剖,研究前臂後外側中段穿支皮瓣血供的起源、走行、分支、外徑、分佈及其吻閤情況,在前臂後外側設計切取前臂後外側中段穿支皮瓣,轉移脩複前臂下段揹側皮膚缺損8例.結果 8例前臂後外側中段的穿支皮瓣全部成活,創麵一期愈閤,穫2～28箇月隨訪,皮瓣色澤接近正常,質地和外形良好.結論 前臂後外側中段穿支皮瓣是一血管相對恆定,血供豐富的非主榦血管為蒂的軸型皮瓣,是脩複前臂下段揹側缺損創麵的理想方法之一.
목적 탐토림상응용전비후외측중단천지피판수복전비하단배측피부결손적가행성.방법 통과대30측시체홍색유효관주진행해부,연구전비후외측중단천지피판혈공적기원、주행、분지、외경、분포급기문합정황,재전비후외측설계절취전비후외측중단천지피판,전이수복전비하단배측피부결손8례.결과 8례전비후외측중단적천지피판전부성활,창면일기유합,획2～28개월수방,피판색택접근정상,질지화외형량호.결론 전비후외측중단천지피판시일혈관상대항정,혈공봉부적비주간혈관위체적축형피판,시수복전비하단배측결손창면적이상방법지일.
Objective To discuss the feasibility of perforator flaps in the middle segment of posterolateral forearm for dorsal defects at the lower forearm. Methods 30 specimens of adult upper limbs,perfused with red latex,were dissected.The course,origin,distribution and branches of major perforator artery in the middle segment of posterolateral forearm were observed and measured.8 cases with dorsal defects at the lower forearm were treated with the perforator flaps.Results All the 8 flaps survived completely with primary healing. The patients were followed up for 2-28 months with good flap texture,color and appearance.Conclusions The perforator flap in the middle segment of posterolateral forearm has constant and rich blood supply which is originated from the main artery.It is suitable for defects at the dorsal side of lower forearm.
