改良桡动脉穿支皮瓣在修复额面部组织缺损中的应用  

Facial and frontal reconstruction with a modified radial artery perforator-based flap

作　　者：谢庆平[1] 郭恩琪[1] 晋培红[1] 许新伟[1] 范奔[1] 王亮[1] 

机构地区：[1]浙江省人民医院手外科,杭州310014

出　　处：《中华显微外科杂志》2010年第1期6-8,I0003,共4页Chinese Journal of Microsurgery

摘　　要：目的探讨改良桡动脉穿支皮瓣在修复额面部中小面积缺损中的临床应用。方法以桡动脉腕上皮支动脉和桡动脉伴行静脉为蒂，通过筋膜蒂营养的前臂近端桡侧皮瓣（最大面积10cm×5cm），游离移植修复额面部肿瘤切除后的组织缺损10例。结果修复额部缺损6例，面颊部缺损4例，术后皮瓣全部存活，经随访6～12个月后行皮瓣修薄整形术。10例病例经8～18个月随访，平均随访11．3个月．其中7例于术后6。9个月进行二次整形。所有病例皮瓣柔软，瘢痕不明显，皮色与面颊部基本接近．皮瓣两点分辨率在20-40mm。结论改良的前臂桡动脉穿支皮瓣是修复额面部中小面积缺损的主要方法之一。Objective In attempt to improve the reconstruction of small defects in the facial and frontal regions, we developed a modified radial artery perforator-based free flap. Methods The free proximal radial forearm flap was based on the distal perforator of the radial artery and the concomitant radial vein. The vascular pedicle passed through deep fascia. The free flap was transferred to repair the defects of the facial and frontal regions. Results In 6 patients with frontal defects and 4 patients with facial defects, all flaps survived completely. After following up for 6-12 months, flaps underwent plastic surgery to become thin- ner. The flaps of 10 cases were good in skin texture and color at recipient sites. The scars were cosmetically acceptable. The superficial sensibility recovered well. Conclusion A modified radial artery perforator-based free flap was useful in covering small defects of the facial and frontal regions.

关 键 词：桡动脉 穿支皮瓣 额面部 显微外科 

分 类 号：R739.81[医药卫生—肿瘤]