摘要
目的研究第二掌背动脉（ＳＤＭＡ）游离皮瓣修复手部软组织缺损的临床价值方法对１１例手部软组织缺损或伴有伸指肌腱缺损的病例，采用游离ＳＤＭＡ或游离复合ＳＤＭＡ皮瓣进行修复。其中，复合组织瓣３例。皮瓣面积为１．５ｃｍ×３ｃｍ～５ｃｍ×６．３ｃｍ。结果１０例完全成活，１例因术中动脉血管内广泛血栓形成而放弃手术，８例随访１４～６２个月。两点辨别觉：手背８～１１ｍｍ，指腹４～６ｍｍ。外形及功能满意。结论该皮瓣能修复手指各个部位软组织缺损，并能形成复合组织瓣修复同时伴有伸指肌肌腱缺损。
Objective To study
the value of saft tissue defect in the hand repaired with the second dorsal metacarpal
artery(SDMA)free flap Methods Eleven cases which were saft tissue defect or
accompanied by the defect of extensor tendon of the finger in the hand,that were
repaired by SDMA free flap or SDMA free compound flap The area of flap was 1 5 cm
×3 cm to 5 cm×6 3 cm Results Ten cases were survived with satisfactory
appearance and good function One case was abandoned because of broad thrombosis in
the artery during operation The follow up was 1 2 to 5 2 year Of these,the two point
distinguish:the dorsal 8 to 11 mm and the belly 4 to 6 mm Conclusions This flap can
repair saft tissue defect of the hand anywhere Skin defect in the hand accompanied by
the defect of extensor tendon of the finger can be repaired by the SDMA free compound
flap
出处
《中华显微外科杂志》
CSCD
北大核心
1999年第3期174-175,共2页
Chinese Journal of Microsurgery
关键词
外科皮瓣
第二掌背动脉
手
修复
Surgical flap Second dorsal metacarpal artery Hand Repair
