前臂外侧皮神经逆行岛状神经皮瓣修复手背软组织缺损
[Treatment of soft tissue defects at the dorsum of hand by retrograde island neurocutaneous flap pedicled with lateral antebrachial cutaneous nerve].
作者信息
Qi Jie, Li Wen, Liu Yan-Jie, Su Wei-Hai, Lin Li-Jian, Liang Jian-hong, Liu Yao
机构信息
Department of Plastic Surgery and Hand Surgery of the Affiliated Petroleum Hospital of Hebei Medical University, Langfang 065000, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2010 Jul;26(4):241-3.
OBJECTIVE
To report the therapeutic effect of retrograde island neurocutaneous flap pedicled with lateral antebrachial cutaneous nerve for the treatment of soft tissue defect at the dorsum of hand.
METHODS
11 cases with soft tissue defects at the dorsum of hands were treated. The size of soft tissue defects ranged from 3.0 cm x 2.5 cm to 6.5 cm x 4.0 cm. The size of the flaps ranged from 3.5 cm x 3. 0 cm to 7. 0 cm x 4. 0 cm.
RESULTS
All the 11 flaps survived. The follow-up period was 2 months to 2 years. The texture and elasticity of the flaps were good. The appearance and function of the hands were satisfactory. The superficial sense was recovered. The wounds at the donor site of forearms were closed primarily in 7 cases, or covered by split-thickness skin grafts in other 4 cases. The appearance of the donor site was satisfactory too.
CONCLUSIONS
The retrograde island neurovascular flap pedicled with lateral antebrachial cutaneous nerve is an optimal method for soft tissue defects at the dorsum of hand.
目的
报道以臂外侧皮神经为蒂的逆行岛状神经皮瓣修复手背软组织缺损的治疗效果。
方法
治疗11例手背软组织缺损患者。软组织缺损大小为3.0 cm×2.5 cm至6.5 cm×4.0 cm。皮瓣大小为3.5 cm×3.0 cm至7.0 cm×4.0 cm。
结果
11例皮瓣全部成活。随访时间为2个月至2年。皮瓣质地、弹性良好。手部外观及功能满意。浅感觉恢复。供区前臂伤口7例一期愈合，4例植皮覆盖，供区外观也较满意。
结论
以臂外侧皮神经为蒂的逆行岛状神经血管皮瓣是修复手背软组织缺损的理想方法。
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