摘要
目的:提高各种原因所致手部皮肤及深度软组织缺损早期修复的疗效。方法:应用腹部真皮下血管网皮瓣修复手外伤后皮肤软组织缺损,本组共20例,随意型皮瓣6例,轴型皮瓣14例,皮瓣面积6cm×3cm～24cm×8cm,蒂宽3～8cm,术后7～10d断蒂。结果:全部皮瓣成活良好,随访6～12个月,手功能及外形均满意。结论:腹部真皮下血管网皮瓣是修复手外伤伴皮肤软组织缺损、肌腱及骨关节外露创面较理想的方法。
Objective: To improve the therapeutic effect of early repair of skin and deep soft tissue defects of the hand. Methods:20 cases of skin and deep soft tissue defects of the hand have been treated with abdominal subdermal vascular network flaps which include 6 random pattern skin flaps and 14 axial pattern skin flaps. The skin flaps were 6cm × 3cm -24cm × 8cm in area and the width of pedicle 3 - 8cm. the pedicle was cut from the abdominal wall 7 - 10 days after operation. Results:20 cases have been treated with the flaps successfully. 6- 12 month Follow - up showed satisfactory function and appearances of the hand.Conclusion: Abdominal subdermal vascular network flap is an ideal option for the reconstruction of skin and deep soft tissue defects.
出处
《解剖与临床》
1999年第3期159-160,共2页
Anatomy and Clinics
关键词
腹部
真皮下血管网皮瓣
手外伤
临床资料
手术
subdermal vascular network flap
in juries of the hand
skin and soft tissue defects.
