上臂外侧逆行岛状皮瓣修复前臂截肢后残端创面  

Lateral upper arm retrograde island flap transfer for coverage of stump wound after forearm amputation

作　　者：许亚军[1] 陈政[1] 包岳丰[1] 周晓[1] 张辉[1] 周建东[1] 陈学明[1] 

机构地区：[1]无锡市手外科医院显微外科,214062

出　　处：《中华手外科杂志》2014年第6期403-405,共3页Chinese Journal of Hand Surgery

摘　　要：目的 介绍上臂外侧逆行岛状皮瓣修复前臂近端截肢后残端创面的临床经验.方法 对前臂近端截肢后残端创面采用上臂外侧逆行岛状皮瓣修复.结果 临床应用共10例,术后皮瓣8例顺利存活,2例血流稍许受限,拆除蒂部缝线后完全存活.有6例获得3个月的随访,残端伤口愈合佳,皮瓣外形满意,不臃肿,肘关节伸屈活动基本正常,能满足接装义肢的需要.结论 采用上臂外侧逆行岛状皮瓣是修复前臂残端创面的好方法.Objective To introduce the clinical experience of the application of lateral upper arm retrograde island flap for coverage of stump wound after forearm amputation.Methods The lateral upper arm retrograde island flap was transferred to cover the wound at the stump that was resulted from forearm amputation.Results This flap was applied in a total of 10 cases.Flaps in 8 cases survived uneventfully.Compromised perfusion was observed in 2 cases which were remedied by removing stitches at the pedicle.These 2 flaps also survived completely.Sufficient follow-up was obtained in 6 cases for 3 months.The stump wounds healed well.The flaps were not bulky.The appearance and elbow function were satisfactory.The stump met requirements for prosthetic fitting.Conclusion Lateral upper arm retrograde island flap is a good option for coverage of stump wound after forearm amputation.

关 键 词：创伤和损伤 截肢术 上臂外侧逆行岛状皮瓣 修复 皮神经营养血管皮瓣 

分 类 号：R658.2[医药卫生—外科学]