中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2012年
6期
355-356
,共2页
张兴奎%张桂红%唐阳平%苗峰%丁桂友%张亮%董中洋%郭彬%马晓辉%李虎%夏勇%王彬
張興奎%張桂紅%唐暘平%苗峰%丁桂友%張亮%董中洋%郭彬%馬曉輝%李虎%夏勇%王彬
장흥규%장계홍%당양평%묘봉%정계우%장량%동중양%곽빈%마효휘%리호%하용%왕빈
外科皮瓣%显微外科手术%股前外侧穿支皮瓣
外科皮瓣%顯微外科手術%股前外側穿支皮瓣
외과피판%현미외과수술%고전외측천지피판
Surgical flaps%Microsurgery%Anterolateral thigh perforator flap
目的 探讨应用游离修薄股前外侧穿支皮瓣修复手部软组织缺损的临床效果.方法 对28例手部软组织缺损创面,采用股前外侧皮瓣游离移植修复.术中切取游离皮瓣至仅剩血管蒂相连时,修薄皮瓣,从外周至血管皮支穿出点附近按次序阶梯样修剪,保留穿出点周围1.5～2.0cm组织不予修剪,同时观察皮瓣血供,防止穿支损伤,皮瓣修薄后游离移植修复手部创面.结果 28例皮瓣全部存活.25例获得3～ 12个月的随访,3例失访.术后皮瓣质地柔软,弹性好,无臃肿,肤色接近正常皮肤,恢复部分感觉功能,手功能及外形恢复良好.结论 修薄股前外侧穿支皮瓣是股前外侧皮瓣的改进,皮瓣存活后疗效满意,是修复手部创面的理想方法之一.
目的 探討應用遊離脩薄股前外側穿支皮瓣脩複手部軟組織缺損的臨床效果.方法 對28例手部軟組織缺損創麵,採用股前外側皮瓣遊離移植脩複.術中切取遊離皮瓣至僅剩血管蒂相連時,脩薄皮瓣,從外週至血管皮支穿齣點附近按次序階梯樣脩剪,保留穿齣點週圍1.5～2.0cm組織不予脩剪,同時觀察皮瓣血供,防止穿支損傷,皮瓣脩薄後遊離移植脩複手部創麵.結果 28例皮瓣全部存活.25例穫得3～ 12箇月的隨訪,3例失訪.術後皮瓣質地柔軟,彈性好,無臃腫,膚色接近正常皮膚,恢複部分感覺功能,手功能及外形恢複良好.結論 脩薄股前外側穿支皮瓣是股前外側皮瓣的改進,皮瓣存活後療效滿意,是脩複手部創麵的理想方法之一.
목적 탐토응용유리수박고전외측천지피판수복수부연조직결손적림상효과.방법 대28례수부연조직결손창면,채용고전외측피판유리이식수복.술중절취유리피판지부잉혈관체상련시,수박피판,종외주지혈관피지천출점부근안차서계제양수전,보류천출점주위1.5～2.0cm조직불여수전,동시관찰피판혈공,방지천지손상,피판수박후유리이식수복수부창면.결과 28례피판전부존활.25례획득3～ 12개월적수방,3례실방.술후피판질지유연,탄성호,무옹종,부색접근정상피부,회복부분감각공능,수공능급외형회복량호.결론 수박고전외측천지피판시고전외측피판적개진,피판존활후료효만의,시수복수부창면적이상방법지일.
Objective To explore the application of free anterohteral thigh perforator flap in repairing soft tissue defects of the hand and evaluate the clinical results.Methods Free anterolateral thigh perforator flap was transferred to repair soft tissue defects of the hand in 28 cases.During flap harvesting trimming of the flap was carried out when the flap was freed and only connected with its vascular pedicle.A step-wise defatting was done from the periphery of the flap towards the vascular pedicle with 1.5 to 2.0 cm tissue around the perforator preserved.Flap circulation was carefully observed to prevent damage to the perforators.The vascular pedicle was then disconnected and the flap transferred to the hand to cover the defect.Results All the 28 flaps survived.Twenty-five cases were follow-up for 3 to 12 months,while 3 cases were lost to follow-up.The flaps were supple and elastic with near normal color.There was no bulkiness.Partial sensation was restored.The function and appearance of the hand were good.Conclusion The thin anterolateral thigh perforator flap is an improvement of the traditional anterolateral thigh flap.The survived flaps are ideal in terms of covering hand defects and restore function.
