中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2012年
10期
937-940
,共4页
林涧%郑和平%林加福%余云兰
林澗%鄭和平%林加福%餘雲蘭
림간%정화평%림가복%여운란
外科皮瓣%显微外科手术%尺侧上副动脉
外科皮瓣%顯微外科手術%呎側上副動脈
외과피판%현미외과수술%척측상부동맥
Surgical flaps%Microsurgery%Superior ulnar collateral artery
目的 探讨臂内侧远端穿支皮瓣的临床应用疗效. 方法 根据臂内侧远端穿支皮瓣基础解剖,在臂内侧设计臂内侧远端穿支皮瓣修复肘关节周围和前臂上段皮肤缺损15例.结果 术后皮瓣完全成活,创面Ⅰ期愈合,经3～36个月随访,皮瓣外形与肘关节功能恢复满意.结论 臂内侧远端穿支皮瓣解剖位置恒定、血液供应良好,手术方法安全,供区隐蔽,是修复肘关节周围和前臂上段皮肤缺损的一种可选的方法.
目的 探討臂內側遠耑穿支皮瓣的臨床應用療效. 方法 根據臂內側遠耑穿支皮瓣基礎解剖,在臂內側設計臂內側遠耑穿支皮瓣脩複肘關節週圍和前臂上段皮膚缺損15例.結果 術後皮瓣完全成活,創麵Ⅰ期愈閤,經3～36箇月隨訪,皮瓣外形與肘關節功能恢複滿意.結論 臂內側遠耑穿支皮瓣解剖位置恆定、血液供應良好,手術方法安全,供區隱蔽,是脩複肘關節週圍和前臂上段皮膚缺損的一種可選的方法.
목적 탐토비내측원단천지피판적림상응용료효. 방법 근거비내측원단천지피판기출해부,재비내측설계비내측원단천지피판수복주관절주위화전비상단피부결손15례.결과 술후피판완전성활,창면Ⅰ기유합,경3～36개월수방,피판외형여주관절공능회복만의.결론 비내측원단천지피판해부위치항정、혈액공응량호,수술방법안전,공구은폐,시수복주관절주위화전비상단피부결손적일충가선적방법.
Objective To discuss the clinical efficacy of distal medial arm perforator flaps.Methods According to the basic anatomy of distal medial arm perforator flaps,the distal medial arm perforator flaps were designed for repairing skin defects around elbow joints and at upper part of forearms in 15 cases.Results All flaps were survived and first intention of wounds was obtained.At 3-36 months of follow-up,flap shape and elbow joint function revealed satisfactory recovery.Conclusions With the constant anatomical position,good blood supply,safe surgical approaches and cryptic donor site,the distal medial arm perforator flap is an alternative to repair the skin defects around elbow joints and in proximal forearms.
