Press B H, Chiu D T, Cunningham B L
Division of Plastic Surgery, Santa Clara Valley Medical Center, San Jose, California.
Br J Plast Surg. 1990 Jul;43(4):419-25. doi: 10.1016/0007-1226(90)90006-l.
When soft tissue losses in the hand require flap reconstruction, local tissue is preferred. Distant flaps should be reserved for major or unusually complex tissue losses which preclude the use of local flaps. We have used the rectus abdominis muscle as either a pedicled or a free flap with an overlying split thickness skin graft for several such complex soft tissue problems. Functional and cosmetic results have been excellent with minimal donor site morbidity. While not the initial choice for distant tissue used in hand reconstruction, the rectus abdominis muscle can solve several complex soft tissue problems in the hand.
当手部软组织缺损需要皮瓣重建时，首选局部组织。远处皮瓣应保留用于无法使用局部皮瓣的大面积或异常复杂的组织缺损。我们已将腹直肌用作带蒂皮瓣或游离皮瓣，并在其上覆盖中厚皮片，用于解决此类复杂的软组织问题。功能和美容效果极佳，供区并发症极少。虽然腹直肌不是手部重建中远处组织的首选，但它可以解决手部的几个复杂软组织问题。
