[吻合血管的阔筋膜瓣修复手部软组织缺损]
[Repair of soft tissue defect of the hand with a fascia lata flap by microvascular anastomosis].
作者信息
Zhang G, Ge B, Wang S
机构信息
Department of Spinal Surgery, Lanzhou General Hospital of People's Liberation Army, Lanzhou 730050, PR China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2000 May;16(3):169-70.
OBJECTIVE
This is to report the clinical experience in repair of the soft tissue defects of the hand using a free fascia lata flap and skin graft.
METHODS
Eight cases of soft tissue defects of the hand were repaired with a fascia lata flap by means of microvascular anastomosis. The size of the fascia lata flap ranged from 2.5 cm x 7 cm to 6 cm x 16 cm.
RESULTS
All the fascia lata flaps survived completely with satisfactory results.
CONCLUSION
The flap is nourished by the descending branch of the lateral femoral circumflex artery and seems to have a constant vascular supply and a long pedicle. The dissection of the flap is easy. The flap is thin and very suitable for repair of soft tissue defects of the hand.
目的
报告采用游离阔筋膜张肌皮瓣及植皮修复手部软组织缺损的临床经验。
方法
采用显微血管吻合技术，应用阔筋膜张肌皮瓣修复8例手部软组织缺损。阔筋膜张肌皮瓣大小为2.5 cm×7 cm至6 cm×16 cm。
结果
所有阔筋膜张肌皮瓣均完全成活，效果满意。
结论
该皮瓣由旋股外侧动脉降支供血，血管供应恒定，蒂长，皮瓣解剖容易，皮瓣薄，非常适合修复手部软组织缺损。
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