骨间前血管前臂背侧皮神经营养血管皮瓣的临床应用  

Clinical application of posterior neurocutaneous vascular axial flap in the forearm pedicle with dorsal branch of anterior interossea vessel

作　　者：柴益民[1] 林崇正[1] 陈彦堃[1] 邱勋永[1] 王清[1] 

机构地区：[1]海南省人民医院显微手外科,海口市570311

出　　处：《中华显微外科杂志》2002年第4期247-248,共2页Chinese Journal of Microsurgery

基　　金：海南省卫生厅科研基金资助项目 (9845)

摘　　要：目的　报道改进前臂背侧皮神经营养血管逆行皮瓣的手术方法及临床效果。　方法　对腕背以远的皮肤缺损创面 ,设计以骨间前血管腕背支为血管蒂 ,沿前臂背侧皮神经营养血管轴切取皮瓣逆向转位修复。　结果　临床应用 8例 ,皮瓣全部成活。随访 6～ 12个月 ,皮瓣质地优良 ,外形与功能恢复满意。　结论　该皮瓣切取方便 ,血供可靠 ,不累及前臂主要血管 ,适于修复虎口、腕背及手背等处较大面积的皮肤软组织缺损。Objective To report the improved operative technique and clinical results of posterior neurocutaneous vascular axial flap in the forearm Methods A reversed posterior neurocutaneous vascular flap in the forearm pedicle with dorsal branch of anterior interossea vessel were designed to repair the skin defects of hand and wrist Results The modified flaps were applied in 8 cases,all flaps survived completely The colour and texture of flaps were good,the outline and functional results were satisfactory after 6～12 months follow up Conclusion This type of flap is easy to dissect,blood supply is reliable,and major vessels in the forearm is preserved,It is suitable for repairing large skin and soft tissue defects of first web, dorsal aspects of wrist and palmar

关 键 词：骨间前血管 前臂背侧 皮神经 皮瓣 皮肤缺损 临床应用 

分 类 号：R658.2[医药卫生—外科学]