[桡动脉终末支逆行前臂筋膜皮瓣修复手部皮肤缺损]
[Repair of skin defects of the hand with the reverse forearm fasciocutaneous flap on the terminal radial artery].
作者信息
Chen Y, Li J
机构信息
Department of Traumatic and Plastic Surgery, Chaozhou Central Hospital, Chaozhou 521000.
出版信息
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Nov;15(6):457-9.
OBJECTIVE
A large reverse forearm fasciocutaneous flap has been developed and used to repair defects of the hand.
METHODS
Supplied by the terminal branches of the radial artery, the reverse forearm fasciocutaneous flap was designed as large as 3-5 cm above the elbow with its pedicle located 3-5 cm proximal to the radial styloid process. The flap can cover a large skin defect of the palm and back of the hand.
RESULTS
We have successfully treated 42 cases of hand skin defects with the terminal radial artery reverse forearm fasciocutaneous flap. Postoperative follow-up in 18 cases revealed satisfactory results cosmetically and functionally.
CONCLUSION
The terminal radial artery reverse fasciocutaneous flap is a simple, safe and less traumatic method for treatment of hand skin defects.
目的
研制一种大型前臂逆行筋膜皮瓣并用于修复手部缺损。
方法
前臂逆行筋膜皮瓣由桡动脉终末支供血，设计于肘部上方3 - 5厘米处，其蒂位于桡骨茎突近端3 - 5厘米处。该皮瓣可覆盖手掌和手背的大面积皮肤缺损。
结果
我们应用桡动脉终末支前臂逆行筋膜皮瓣成功治疗42例手部皮肤缺损。18例术后随访，外观和功能效果满意。
结论
桡动脉终末支逆行筋膜皮瓣是治疗手部皮肤缺损的一种简单、安全且创伤较小的方法。
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