臂内侧远端穿支皮瓣的临床应用  

Clinical application of distal medial arm perforator flaps

作　　者：林涧[1] 郑和平[2] 林加福[2] 余云兰 

机构地区：[1]台州市博爱医院显微外科,318050 [2]南京军区福州总医院骨科研究所

出　　处：《中华创伤杂志》2012年第10期937-940,共4页Chinese Journal of Trauma

基　　金：浙江省科技计划资助项目（2011C33022）;台州市科技计划资助项目（2011KY33）;台州市科技计划资助项目（2010KY46）;台州市路桥区科技计划资助项目（2010A23011）

摘　　要：目的探讨臂内侧远端穿支皮瓣的临床应用疗效。方法根据臂内侧远端穿支皮瓣基础解剖，在臂内侧设计臂内侧远端穿支皮瓣修复肘关节周围和前臂上段皮肤缺损15例。结果术后皮瓣完全成活，创面I期愈合，经3—36个月随访，皮瓣外形与肘关节功能恢复满意。结论臂内侧远端穿支皮瓣解剖位置恒定、血液供应良好，手术方法安全，供区隐蔽，是修复肘关节周围和前臂上段皮肤缺损的一种可选的方法。Objective To discuss the clinical efficacy of distal medial arm perforator flaps. Methods According to the basic anatomy of distal medial arm perforator flaps, the distal medial arm perforator flaps were designed for repairing skin defects around elbow joints and at upper part of forearms in 15 cases. Results All flaps were survived and first intention of wounds was obtained. At 3-36 months of follow-up, flap shape and elbow joint function revealed satisfactory recovery. Conclusions With the constant anatomical position, good blood supply, safe surgical approaches and cryptic donor site, the distal medial arm perforator flap is an alternative to repair the skin defects around elbow joints and in proximal forearms.

关 键 词：外科皮瓣 显微外科手术 尺侧上副动脉 

分 类 号：R658.2[医药卫生—外科学]