叠加供血皮瓣在手外科的应用  

Application of superimposed flaps in hand surgery

作　　者：刘伟[1] 张辉[1] 沈勇[1] 富玲[1] 

机构地区：[1]沈阳医学院附属中心医院手外科,沈阳市110024

出　　处：《中华创伤骨科杂志》2004年第11期1311-1312,共2页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨叠加供血皮瓣在手外科的应用。方法1998年3月～2003年12月,应用非主干血管皮瓣加皮神经营养皮瓣修复手部皮肤缺损35例,面积1cm×1cm～6cm×8cm。结果术后33例成活,2例由于皮瓣设计不当坏死,术后随访6～12个月,皮瓣质地、色泽与周围正常组织相似,无臃肿。结论叠加供血皮瓣供血可靠、切取方便,是修复手部皮肤缺损理想皮瓣。Objective To probe the application of superimposed flaps in hand surgery. Methods Form March 1998 to December 2003, we repaired 35 cases of skin defects with non trunk blood flaps and neurocutaneous vascular flaps. The area of flaps ranged from 1cm×1cm to 6cm×8cm. Results After operation, the flaps in 33 cases survived, but died in 2 cases due to unsuitable design. The follow ups ranging from 6 to 12 months showed that the quality and color of the survived flaps were similar to those of the normal tissue around. No swelling was found. Conclusion The superimposed flaps have reliable blood supply so that they are an ideal means to repair skin defects of hand.

关 键 词：外科皮瓣 手外伤 

分 类 号：R658.2[医药卫生—外科学]