尺动脉腕上支皮瓣在手部皮肤缺损中的应用  

Clinical Application of Skin Flap Pedicled with Dorsal Carpal Branch of Ulnar Artery

作　　者：任静 张勇 刘峰 吕晓峰 李智 赵爱彬 朱明雨 朱庭标 顾浩 张金鹏 范永红 宋家祥 

机构地区：[1]曲靖市第一人民医院骨二科,云南曲靖655000

出　　处：《中国伤残医学》2013年第2期5-6,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:总结应用尺动脉腕上支皮瓣修复手、腕部软组织缺损。方法:对11例手、腕部软组织缺损应用尺动脉腕上支皮瓣修复的治疗进行回顾性分析。结果:除2例皮瓣边缘部分坏死,其余皮瓣全部成活,术后稍显臃肿,功能恢复满意。结论:尺动脉腕上支皮瓣具有取材方便、血供可靠、不牺牲主干血管等优点,是修复手、腕部软组织缺损的理想皮瓣。Objective： To summary clinical application of skin flap pedicled with dorsal carpal branch of ulnar artery to reconstruct soft tissue defects of hand or wrist.Methods： Surgical outcome of 11 cases of soft tissue defects of hands or wrists which were reconstructed by skin flap pedicled with dorsal carpal branch of ulnar artery were retrospectively analyzed. Results： Good coverage of the defects has been achieved except partial necrosis of flap edge in two cases. The limbs seem to be slightly Bulging after surgery but function well. Conclusion： The major advantage of skin flap pedicled with dorsal carpal branch of ulnar artery should be it＇ s easy dissection and reliable blood supply. In the same time, major vascular do not need to be sacrificed. Skin flap pedicled with dorsal carpal branch of ulnar artery might be an ideal choice to reconstruct soft tissue defect of hand or wrist.

关 键 词：尺动脉腕上支皮瓣 软组织缺损 

分 类 号：R686[医药卫生—骨科学]