股前内侧穿支皮瓣游离移植修复手部创面  

Clinical application of anteromedial thigh perforator flap transplantation for repairing wounds in the hand

作　　者：杨晓东[1] 刘杨武[1] 杨锦[1] 陈逸民[1] 付尚俊[1] 周阳[1] 丁建波[1] 楼旭鹏[1] 

机构地区：[1]温州医学院附属义乌医院手足外科,义乌322000

出　　处：《中华手外科杂志》2012年第3期131-133,共3页Chinese Journal of Hand Surgery

基　　金：浙江省义乌市第三批科技攻关计划（2009-C3-01）

摘　　要：目的探讨应用股前内侧穿支皮瓣游离移植修复手部创面的临床疗效。方法2008年6月至2011年6月，应用股前内侧穿支皮瓣游离移植修复手部创面共15例，其中手掌侧创面5例，尺侧创面4例，虎口区创面1例，手背创面5例；缺损面积：6cm×4cm～13cm×9cm；其中11例与受区桡动脉、头静脉吻合，4例与尺动脉、贵要静脉吻合。供区直接缝合9例，部分植皮6例。结果本组15例皮瓣全部存活，未出现血管危象。随访3～12个月，临床效果满意。结论应用股前内侧穿支皮瓣游离移植修复手剖切面，临床效果满意，值得推广应用。Objective To investigate the clinical effects of repairing wounds in the hand with free anteromedial thigh perforator flap transplantation. Methods From June 2008 to June 2011, 15 cases were treated with free anteromedial thigh perforator flap transplantation for repairing the wound in the hand. There were 5 cases of volar defects, 4 cases of defects on the ulnar aspect of the hand, 1 case of first web space wound and 5 cases of dorsal defects. Wound sizes ranged from 6 cm × 4 cm to 13 cm×9 cm. Flap pedicles were anastomosed to the radial artery and cephalic vein of the recipient site in 11 cases, and to the ulnar artery and basilic vein in 4 cases. Direct closure of the donor site was possible in 9 cases, while skin graft was necessary in 6 cases. Results All the transplants survived. There was no vascular crisis. Postoperative follow-up ranged from 3 to 12 months. Satisfactory clinical results were recorded. Conclusion Anteromedial thigh perforator flap transfer is an effective method of repairing wounds in the hand.

关 键 词：组织移植 创伤和损伤 股前内侧穿支皮瓣 创面 

分 类 号：R658.2[医药卫生—外科学]