臂内侧皮神经营养血管筋膜皮瓣的临床应用  

Qinical application of arm medial pedicle flap with cutaneous nerve and nutrient vessel

作　　者：王彦生[1] 田立杰[1] 辛畅泰[1] 李崇杰[1] 王春勃[1] 尚宇阳[1] 

机构地区：[1]沈阳医学院附属沈阳市中心医院手外科,110024

出　　处：《中国局解手术学杂志》2001年第2期131-132,共2页

摘　　要：目的 探讨用简单、可靠、有效的方法修复腋部、肘部及前臂皮肤及软组织缺损的方法。方法 根据臂内侧皮神经营养血管筋膜皮瓣的解剖特点,设计以臂内侧皮神经营养血管为蒂的顺行及逆行筋膜岛状皮瓣移位修复腋部、肘部及前臂上部皮肤及软组织缺损共12例。结果 3例皮瓣出现静脉危象,其中1例坏死,由于皮肤及软组织缺损较多,采用同侧的带蒂背阔肌肌皮瓣单极移位修复;另2例通过蒂部拆线减压,皮缘小静脉放血而成活;余9例未出现血管危象顺利成活,全部病例经3～30月的随访,皮瓣柔软、细腻有弹性,外形佳,且恢复一定的感觉。结论 臂内侧皮神经营养血管筋膜皮瓣的血运可靠,并含有感觉神经,手术操作简单,用于修复腋、肘部及前臂皮肤及软组织缺损是一种比较理想的手术方法。Objective To discuss a simple reliable method to repair skin deficient in the axilla, elbow and forearm. Methods The arm medial pedicle flap with cutaneous nerve and nutrient vessel could be direcdy of adversely transferred to repair adjacent soft tissue defect. Results 3 cases appeared vein circulation crisis: 1 case flap was necrosis. Because of adopting the flap decompress and small vein bloodletting, another 2 cases were saving. Another 9 cases survived. Following up 3-30 months, the flap had satisfactory appearance and function. Conclusion Arm medial pedicle flap with cutaneous nerve and nutrient vessels can be direcdy or adversely transferred to repair adjacent soft tissue defect.

关 键 词：臂内侧皮神经 筋膜皮瓣 皮神经营养血管 临床应用 

分 类 号：R686.3[医药卫生—骨科学]