前臂皮神经营养血管皮瓣远位修复创面17例临床分析  

Clinical analysis of forearm cutaneous neurovascular flaps repairing remote wound in 17 cases

作　　者：柏士平[1] 宗艳霞[1] 罗燕[1] 潘拥军[1] 

机构地区：[1]九江市第一人民医院烧伤整形科,江西省九江332000

出　　处：《中国医师杂志》2011年第8期1049-1051,共3页Journal of Chinese Physician

基　　金：江西省九江市科技局社会发展类科研计划项目[2010]42号

摘　　要：目的探讨前臂皮神经营养血管皮瓣远位修复创面的临床效果。方法采用前臂皮神经营养血管皮瓣远位修复头面部、上肢创面17例。结果16例皮瓣全部成活，1例皮瓣远端部分坏死，经换药后愈合，随访3～6个月，所有皮瓣质地优良，外观无明显臃肿，功能满意。结论前臂皮神经营养血管皮瓣血供充分、皮瓣成活率高、不牺牲主干血管、远位修复方便，是修复头面部、上肢皮肤软组织缺损的理想方法。Objective To explore the clinical effects of forearm cutaneous neurovascular flaps to be used on repairing remote wound. Methods 17 cases of soft tissue defect of head and facial region and upper extremity were repaired with forearm cutaneous neurovascular flaps. Results The flaps of 16 cases were entirely survived, partial necrosis appeared in 1 case and healed after changing dressing. Following up for 3 to 6 months, the quality and shape of all the flaps and function recovery of all patients were satisfied. Conclusions With adequate blood supply, the survival rate of forearm cutaneous neurovascular flaps is high and the procedure to repair remote wound is easy, and it is one of best ways to repair the soft tissue defect in head and facial region and upper extremity with forearm cutaneous neurovascular flaps.

关 键 词：外科皮瓣 前臂/血液供给/神经支配/外科学 肌皮神经/血液供给/外科学 创伤 和损伤/外科学 

分 类 号：R622[医药卫生—整形外科]