摘要
目的:探讨桡侧副动脉穿支皮瓣修复肘后深部组织外露创面的临床疗效.方法:从2016年4月-2018年12月本院收治的28例患有肘后皮肤软组织缺损伴骨、肌腱外露创面的患者,择期采用桡侧副动脉穿支皮瓣进行修复.其中电击伤致肘后皮肤缺损伴尺骨外露患者19例,热压伤患者5例,车祸后皮肤挫伤致骨外露4例.结果:28例患者皮瓣均成活,术后无并发症,皮瓣质地优良,外形与功能恢复满意.结论:利用桡侧副动脉穿支设计的上臂外侧皮瓣,穿支血管解剖位置恒定、血管蒂长,是肘后皮肤软组织缺损的有效方法.
Objective : To investigate the clinical effect of radial collateral artery perforator flap in repairing the exposed wound of deep tissue behind elbow. Methods: From April 2016 to December 2018, 28 patients with posterior elbow skin and soft tissue defect with exposed bone and tendon were treated in our hospital, the radial collateral artery perforator flap was used to repair the wound. There were 19 cases of skin defect with ulna exposure after electric shock injury, 5 cases of hot compression injury and 4 cases of bone exposure caused by skin contusion after car accident. Results: All the flaps survived without complications after operation, the flaps had good quality and satisfactory recovery of appearance and function. Conclusion : the lateral upper arm flap designed by perforating branch of radial collateral artery is an effective method for posterior elbow skin and soft tissue defect because of its constant anatomic position and long vascular pedicle.
作者
徐卿芯
万蓁蓁
刘玉树
刘文明
XU Qing-xin;WAN Zhen-zhen;LIU Yu-shu(Binzhou medical university hospital, Shandong province 256600)
出处
《中国伤残医学》
2019年第17期12-13,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
桡侧副动脉
软组织皮肤缺损
穿支皮瓣
移植
Radial collateral artery
Soft tissue defects
Perforator flap
Transplantation
