摘要
目的探讨胸脐带蒂皮瓣血管蒂皮管设计改进的可行性。方法1999年1月-2005年6月,对26例前臂及手部软组织缺损创面,应用胸脐带蒂皮瓣,在血管蒂部设计辅助三角皮瓣,三角皮瓣顺行或逆行旋转与血管蒂上的皮肤瓦合缝合构成皮管覆盖创面,术后4周断蒂。结果术后皮瓣全部存活,为二期手术创造了良好的软组织条件。结论胸脐带蒂皮瓣血管蒂皮管设计的改进更易缝合血管蒂,旋转弧度大,操作简便,最大限度的利用了腹部供区修复创面。
Objective To study the possibility of improving the skin tube design in thoracoubilical pedicle flaps.Methods From January 1999 to June 2005.modified thoracoumbilical pedicle flaps were clinically applied in 26 cases with large area defect in hand.An assistant triangular flap wa designed at the base of vaseular pedicle and matched with pedicular base to compose the skin tube.The flap may be detached from abdomen in 4 weeks.Results All flaps survived postoperatively.There was no swelling.The flap created good soft tissue for secondary surgeries.Conclusion Tube design improvement makes the pedicle easier to suture,allows the flap to be rotated in a greater radius,and avoids tension on the vascular pedicle.
出处
《中华手外科杂志》
CSCD
北大核心
2006年第2期81-82,共2页
Chinese Journal of Hand Surgery
关键词
外科皮瓣
软组织缺损
胸脐带蒂皮瓣
治疗结果
Surgical flaps
Soft tissue defect
Thoracoumbilical pedicle flaps
Treatment outcome
