前臂动脉穿支筋膜皮瓣在手腕部软组织缺损修复中的应用  

Application of Forearm Fascia Flap with Perforator Artery in the Restoration of Soft Tissues Defects in Wrist

作　　者：刘金凤[1] 李勇[1] 余勇[1] 卓丹[1] 

机构地区：[1]安徽省蚌埠市第三人民医院烧伤整形科,233000

出　　处：《解剖与临床》2008年第2期119-120,123,共3页Anatomy and Clinics

摘　　要：目的：探讨以前臂动脉穿支筋膜蒂皮瓣修复手、腕部软组织缺损创面的临床疗效。方法：采用前臂桡动脉、尺动脉、骨间背动脉穿支筋膜蒂皮瓣修复手、腕部肌腱外露创面，供瓣区植皮或直接缝合。结果：术后6例皮瓣全部成活，供、受区创面均一期愈合，经2个月～2a随访，皮瓣外形不臃肿，残留功能得以保存。结论：采用前臂动脉穿支筋膜蒂皮瓣修复手腕部创面，不损伤知名血管，皮瓣外形良好，有利于术后受区的功能恢复，是一种比较理想的手术方法。Objective： To explore the effects of forearm fascia flaps with perforator artery in the restoration of soft tissues defects in wrist. Methods： The forearm fascia flaps with perforator arteries from radial artery, ulnar artery and dorsal interosseous artery, were employed to repair the wounds in wrist where the muscle tendon exposed. Simultaneously, the donor regions received skingrafting or sutured directly. Results ： Six skin flaps survived well, the wounds at the donor and recipient sites got primary healing. These patients were followed up for two months to two years. The appearance of the transferred skin flaps did not show fat and clumsy. Moreover, the residual function was maintained. Conclusions： Emploring the forearm fascia flaps with perforator arteries to restore the soft tissues defects in wrist has advantages of no injury of well - known blood vessels, good shape of the transferred skin flaps and in favour of functional recovery of recipient sites, is an ideal modus operandi.

关 键 词：穿支 皮瓣 筋膜瓣 腕部 缺损 

分 类 号：R658.2[医药卫生—外科学]