[手部及前臂后部复杂软组织缺损的修复与功能重建]
[Repair and function reconstruction of complex soft tissue defect of posterior of hand and forearm].
作者信息
Gao Junqing, Chen Xunwen, Yang Kefei
机构信息
Department of Hand and Foot Microsurgery, Foshan Hospital of Traditional Chinese Medicine, Foshan Guangdong, PR China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004 Jul;18(4):304-6.
OBJECTIVE
To study the repair and function reconstruction of complex soft tissue defect of posterior of hand and forearm.
METHODS
From May 2001 to November 2003, 8 cases of soft tissue defect of posterior of hand and forearm were repaired with thoracico abdominal flaps with hilum for primary stage. The tendon transplantation and allogeneic tendon function reconstruction of hand were performed for secondary stage. The range of the flap was 9 cm x 15 cm to 12 cm x 38 cm. Allogeneic tendon amounted to 6.
RESULTS
All the flaps survived. The flap countour was good. The results of allogeneic tendon transplantation were satisfactory and the function of hand was good.
CONCLUSION
Repairing complex soft tissue defect of posterior of hand and forearm and reconstructing hand function by use of thoracico abdominal flaps with hilum and transplantation of allogeneic tendon have the satisfactory clinical results.
目的
探讨手背及前臂后部复杂软组织缺损的修复及功能重建方法。
方法
2001年5月至2003年11月，对8例手背及前臂后部软组织缺损患者一期采用带蒂胸腹部皮瓣修复，二期行肌腱移植及异体肌腱重建手部功能。皮瓣面积为9cm×15cm至12cm×38cm。异体肌腱6条。
结果
所有皮瓣均成活，皮瓣外形良好。异体肌腱移植效果满意，手部功能良好。
结论
采用带蒂胸腹部皮瓣修复手背及前臂后部复杂软组织缺损并结合异体肌腱移植重建手部功能，临床效果满意。
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