前臂近端内侧穿支皮瓣在手部皮肤软组织缺损修复中的应用  

Application of proximal forearm medial perforator flap in repairing skin and soft tissue defect of hand

作　　者：粱晓宗 梁晓宗[1] 温贤金 李曼丹[1] 黄国英[2] 黄永军[2] 

机构地区：[1]佛山市高明区人民医院手外科,广东佛山528500 [2]广东省第二人民医院创伤外科,广东广州510317

出　　处：《实用手外科杂志》2017年第1期80-82,共3页Journal of Practical Hand Surgery

摘　　要：目的 探讨应用前臂近端内侧穿支皮瓣游离移植修复手部皮肤软组织缺损的临床疗效.方法 2011年6月-2015年8月,收治手部皮肤软组织缺损12例,皮肤缺损面积2.5 cm×3.6 cm^5.0 cm×8.5 cm.采用前臂近端内侧穿支皮瓣Ⅰ期游离移植修复,皮瓣切取面积2.8 cm×4.0 cm^5.5 cm×9.5 cm.术后定期随访总结分析皮瓣成活及修复手部的外观与功能情况.结果 1例皮瓣远端部分坏死,经换药2周后愈合,其余皮瓣成活良好.术后随访6~12个月,平均7.8个月.皮瓣不臃肿,外形及弹性好,色泽接近正常,无继发挛缩,手指屈伸活动范围及力量基本正常.结论 应用前臂近端内侧穿支皮瓣修复手部皮肤软组织缺损,术后外观、质地及功能均恢复满意,对供区影响小,可获得良好的效果.Objective To explore the clinical application of proximal forearm medial perforator flap for repairing skin and soft tissue defect of hand. Methods From June 2011 to August 2015, 12 cases with hand skin and soft tissue defect were treated in our department. The area of skin defect was 2.5 cm ×3.6 cm^5.0 cm×8.5 cm. The proximal forearm medial perforator flap for repairing at first stage, the size of the flaps ranged from 2.8 cm ×4.0 cm^5.5 cm ×9.5 cm. Regular follow-up was taken after operation, the survival rate of the flap and the appearance and function of the hand were analyzed. Results In 1 case, the distal part of the flap was necrosis and healed after dressing change for 2 weeks. All patients were followed up for 6 to 12 months （mean, 7.8 months）. The flap was not bloated, the shape and elasticity was good, the color was close to normal, no secondary contracture, the scope and strength was normal of finger flexion and extension. Conclusion The application of proximal forearm medial perforator flap for repairing skin and soft tissue defect, postoperative appearance, texture and function recovered satisfactorily, little influence on the donor area, can obtain good results.

关 键 词：手 前臂 穿支皮瓣 显微外科手术 

分 类 号：R658.2[医药卫生—外科学]