中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
19期
2615-2616
,共2页
外科皮瓣%骨间背动脉%皮动脉%急诊
外科皮瓣%骨間揹動脈%皮動脈%急診
외과피판%골간배동맥%피동맥%급진
Surgical flaps%Interosseous dorsal antidromic artery%Cutaneous artery%Emergency
目的 介绍改良方法切取骨间背侧动脉逆行岛状皮瓣急诊手术修复手部外伤皮肤软组织缺损创面的方法.方法 用改良方法切取前臂骨间背侧动脉皮瓣逆行转移急诊亚急诊手术修复各种原因致手部皮肤缺损16例.结果 14例皮瓣均完全成活,有2例皮瓣远段表皮坏死,经换药后创面愈合.结论 通过对前臂骨间背侧皮瓣切取方法的改进,可补救急诊手外伤手术中发现或出现的血管损伤及解剖变异对皮瓣成活的影响,并降低手术难度,缩短了住院时间,值得推广.
目的 介紹改良方法切取骨間揹側動脈逆行島狀皮瓣急診手術脩複手部外傷皮膚軟組織缺損創麵的方法.方法 用改良方法切取前臂骨間揹側動脈皮瓣逆行轉移急診亞急診手術脩複各種原因緻手部皮膚缺損16例.結果 14例皮瓣均完全成活,有2例皮瓣遠段錶皮壞死,經換藥後創麵愈閤.結論 通過對前臂骨間揹側皮瓣切取方法的改進,可補救急診手外傷手術中髮現或齣現的血管損傷及解剖變異對皮瓣成活的影響,併降低手術難度,縮短瞭住院時間,值得推廣.
목적 개소개량방법절취골간배측동맥역행도상피판급진수술수복수부외상피부연조직결손창면적방법.방법 용개량방법절취전비골간배측동맥피판역행전이급진아급진수술수복각충원인치수부피부결손16례.결과 14례피판균완전성활,유2례피판원단표피배사,경환약후창면유합.결론 통과대전비골간배측피판절취방법적개진,가보구급진수외상수술중발현혹출현적혈관손상급해부변이대피판성활적영향,병강저수술난도,축단료주원시간,치득추엄.
Objective To introduce the clinical application of the improved interosseous dorsal antidromic artery issular flap in the emergency treatment of the soft tissue defects in hand trauma. Methods 16 patients were received the interosseous dorsal antidromic artery flap for soft tissue defects in the hand with emergency treatment. Results All 14 flaps survived, tip necrosis occurred in 2 cases which healed without complications. Conclusion It was simple technical and shorten time in hospital with improvement of the emergency operative procedure of interosseous dorsal antidromic artery flap, and could reduce the impact of frequency of anatomic variations and vascular complications.
