桡动脉掌浅支腕横纹皮瓣微创修复手部软组织缺损  

Repair of the hand soft tissue defects by superficial palmar branch of the radial artery wrist horizontal stripes flaps

作　　者：肖建林[1] 廖前德[1] 戴顺平[1] 卢吉平[1] 牛永刚[1] 续俊华 唐向[1] 龙诚[1] 

机构地区：[1]解放军第163医院骨科,湖南长沙410003

出　　处：《临床骨科杂志》2016年第6期713-715,共3页Journal of Clinical Orthopaedics

摘　　要：目的：观察桡动脉掌浅支腕横纹皮瓣游离移植微创修复手部软组织缺损的临床疗效。方法应用微创显微外科技术切取桡动脉掌浅支腕横纹皮瓣修复28例手部软组织缺损患者，供区创面直接缝合。结果患者均获得随访，时间6-12个月。28例皮瓣全部存活，其中2例皮瓣出现边缘部分坏死，经换药处理伤口愈合。皮瓣色泽良好，外形美观，两点辨别觉为0．5-0．7 cm。供区线性瘢痕，无功能障碍。结论桡动脉掌浅支腕横纹皮瓣游离移植微创修复手部软组织缺损，手术简单，创伤小，皮瓣外形美观，功能良好。Objective To explore the therapeutic effects of using superficial palmar branch of the radial artery （ SP-BRA） wrist horizontal stripes flaps to repair the hand soft tissue defects. Methods Twenty-eight patients suffering from hand soft tissue defects were treated by using wrist horizontal stripes flaps under minimally invasive microscopy surgery, the areas of the wound were all directly sutured. Results All patients had been followed up for 6 -12 months. 28 cases survived completely, 2 cases of skin flaps necrosis appeared edges, wounds healed after dressing processing. The flaps were coloury and beautiful, and the two-point discrimination of skin flaps was 0. 5-0. 7 cm. Linear scar were left in donor sites, and no functional disorders happened. Conclusions The method of SPBRA wrist horizontal stripes flaps to repair the hand soft tissue defects is simple to perform, and has the advantages of slight sur-gical trauma, satisfactory appearance and functional rehabilitation.

关 键 词：外科皮瓣 手损伤 软组织缺损 桡动脉掌浅支 外科手术 微创性 

分 类 号：R622.1[医药卫生—整形外科] R658.2[医药卫生—外科学]