从创伤性离断肢体切取游离皮瓣修复前臂残端软组织缺损  

Repair of soft-tissue defect of amputation stumps of the forearm with free flap from the traumatic amputated extremity

作　　者：张功林[1] 郭翱[1] 张灵芝[1] 徐招跃[1] 章峰火[1] 张文正[1] 胡玉祥[1] 丁法明[1] 

机构地区：[1]浙江省温岭市骨伤科医院,317500

出　　处：《中华医学杂志》2007年第27期1912-1914,共3页National Medical Journal of China

摘　　要：目的探讨从创伤性离断肢体切取游离皮瓣修复前臂残端软组织缺损的临床效果。方法应用这种技术修复5例(男4例,女1例)前臂截肢残端软组织缺损创面,年龄22～43岁,平均32岁。右侧3例,左侧2例。皮瓣面积为8 cm×9 cm～9 cm×12 cm。结果 1例术后发生表浅感染,经更换敷料逐渐愈合,皮瓣全部成活,所有患者随访1.5～3.5年,平均2.6年。受区外形和肘关节功能恢复较好,获得了满意的治疗效果。结论废弃肢皮瓣具有血管解剖恒定、血管蒂长和切取容易等优点,该手术可保留创伤性截肢残端有功能的长度或肘关节功能。Objective To report the clinical results of the repair of soft-tissue defect of amputation stumps of the forearm with free flap from the traumatic amputated extremity. Methods Five patients, 4 males and 1 female, aged 32 （22-43）, with soft-tissue defect of the remaining stump of the traumatic amputation of the forearm, 3 cases in the right forearm and 2 cases in the left forearm, underwent repair of the defect by free flap from the traumatic amputated extremity with the size of the flaps ranging from 8 cm × 9 cm to 9 cm× 12 cm. The patients were followed up for 2.6 years （ 1.5-3.5 years）. Results Superficial infection occurred in one patient postoperatively and the wound was gradually healed by daily wound dressings. All the flaps survived completely with satisfactory clinical results. The cosmetic appearance on the recipient area was good and the function of the elbow re3covered satisfactorily. Conclusion The flap from the traumatic amputated extremity has a constant vascular anatomy and a long vascular pedicle, so that dissection of the flap can be accomplished easily. The surgery allows to preserve the functional length or the elbow function of the remaining stump of the traumatic amputation.

关 键 词：软组织损伤 外科皮瓣 显微外科手术 

分 类 号：R687.3[医药卫生—骨科学]