游离骨间后动脉穿支皮瓣结合肌肉筋膜修复手部复合组织缺损  

Free posterior interosseous artery perforator flap combined with muscle fascia for repairing composite tissue defect of hand

作　　者：李一[1] 胡浩良[1] 王晓峰[1] 俞淼 周映玲[1] 陆陈林 LI Yi;HU Haoliang;WANG Xiaofeng;YU Miao;ZHOU Yingling;LU Chenlin(Department of Hand Surgery,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China)

机构地区：[1]宁波市第六医院手外科,浙江宁波315040

出　　处：《中国现代医生》2023年第34期44-47,共4页China Modern Doctor

摘　　要：目的探讨游离骨间后动脉穿支皮瓣结合肌肉筋膜修复手部皮肤软组织及伸肌腱复合缺损的疗效。方法选取2017年12月至2020年12月宁波市第六医院收治的15例手部皮肤软组织缺损合并伸肌腱缺损的患者,利用游离骨间后动脉穿支皮瓣结合尺侧伸腕肌肌肉筋膜移植修复,观察其疗效。结果术后15例患者皮瓣全部存活,随访6~24个月。皮瓣色泽、质地及厚薄较满意,手指屈伸功能恢复良好,手部肌腱修复优良率66.7%;3例吻合神经者,皮瓣感觉恢复至S3。结论应用游离骨间后动脉穿支皮瓣结合肌肉筋膜可同时修复手部皮肤软组织和肌腱缺损,具有较好的临床效果。Objective To investigate the clinical effect of free posterior interosseous artery perforator flap combined with muscle fascia for repairing soft tissue and extensor tendon defect of hand.Methods Fifteen cases of hand skin soft tissue and extensor tendon defect admitted to Ningbo No.6 Hospital from December 2017 to December 2020 were repaired with free posterior interosseous artery perforator flap combined with extensor carpi ulnaris muscle fascia transplantation,and curative effect was observed.Results All flaps survived and patients were followed up for 6–24 months.The texture and thickness of the flap were satisfactory,and the recovery of the finger extension and flexion function were good.The excellent and good rate of hand tendon repair was 66.7%.In three cases with nerve anastomosis,the skin flap sensation recovered to S3.Conclusion The free posterior interosseous artery perforator flap combined with muscle fascia has a good clinical effect in repairing hand skin soft tissue and tendon defect.

关 键 词：穿支皮瓣 骨间后动脉 手损伤 伸肌腱 

分 类 号：R622.1[医药卫生—整形外科]