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编号:10626492
改进的骨间背侧动脉逆行岛状皮瓣在手外伤中的应用
http://www.100md.com 《中华现代外科学杂志》 2005年第6期
手外伤,骨间背侧动脉,岛状皮瓣,手外伤,修复,1资料与方法,2结果,3讨论,参考文献
     【摘要】 目的 报道应用改进后的骨间背侧动脉逆行岛状皮瓣在急诊中修复手部创面的临床效果。 方法 将皮瓣的血管蒂改良为筋膜血管蒂。用此皮瓣在急诊中修复手部软组织缺损21例。 结果 21例岛状皮瓣全部成活,术后随访2~24个月,效果均满意。 结论 应用改进后的骨间背侧动脉逆行岛状皮瓣增加了皮瓣静脉回流,提高了皮瓣成活率。且在不牺牲前臂主要血管前提下逆行修复手部皮肤缺损,手术安全、简便,是一种比较理想的方法。

    关键词 骨间背侧动脉 岛状皮瓣 手外伤 修复

    Clinical application of the revised antidromic dorsal interosseous artery island flap to repair injured hand

    Li Ruihua,Kan Shilian,Li Mingxin,et al.

    Department of Hand and Microsurgery,Tianjin Hospital,Tianjin300211.

    【Abstract】 Objective To introduce a revised method,which was used to repair skin and soft tissue defect in the hands with antidromic dorsal interosseous artery island flap in emergency treatment.Methods Blood vessel pedi-cle of flap was revised to fascicutaneous pedicle.The revised antidromic dorsal interosseous artery flaps were used to repair21cases which suffered from skin and soft tissue defect in hands.Results The flaps were survived completely in these21cases.The results were satisfactory after2~24months follow-up.Conclusion The revision could in-crease vein reflux of flap ......

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