前臂后外侧中段穿支皮瓣修复前臂下段背侧皮肤缺损  

Perforator flap in the middle segment of posterolateral forearm for dorsal defects at the lower forearm

作　　者：林涧[1] 余云兰 郑和平[2] 

机构地区：[1]浙江省台州市博爱医院显微外科,台州318050 [2]福建医科大学福州总医院临床医学院,南京军区福州总医院军区骨科研究所

出　　处：《中华整形外科杂志》2012年第5期325-328,共4页Chinese Journal of Plastic Surgery

基　　金：浙江省科技计划项目（2011C33022）;浙江省台州市科技计划项目（2011KY33）

摘　　要：目的探讨临床应用前臂后外侧中段穿支皮瓣修复前臂下段背侧皮肤缺损的可行性。方法通过对30侧尸体红色乳胶灌注进行解剖，研究前臂后外侧中段穿支皮瓣血供的起源、走行、分支、外径、分布及其吻合情况，在前臂后外侧设计切取前臂后外侧中段穿支皮瓣，转移修复前臂下段背侧皮肤缺损8例。结果8例前臂后外侧中段的穿支皮瓣全部成活，创面一期愈合，获2—28个月随访，皮瓣色泽接近正常，质地和外形良好。结论前臂后外侧中段穿支皮瓣是一血管相对恒定，血供丰富的非主干血管为蒂的轴型皮瓣，是修复前臂下段背侧缺损创面的理想方法之一。Objective To discuss the feasibility of perforator flaps in the middle segment of posterolateral forearm for dorsal defects at the lower forearm. Methods 30 specimens of adult upper limbs, perfused with red latex, were dissected. The course, origin, distribution and branches of major perforator artery in the middle segment of posterolateral forearm were observed and measured. 8 cases with dorsal defects at the lower forearm were treated with the perforator flaps. Results All the 8 flaps survived completely with primary healing. The patients were followed up for 2-28 months with good flap texture, color and appearance. Conclusions The perforator flap in the middle segment of posterolateral forearm has constant and rich blood supply which is originated from the main artery. It is suitable for defects at the dorsal side of lower forearm.

关 键 词：前臂损伤 外科皮瓣 显微外科手术 

分 类 号：R658.2[医药卫生—外科学]