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尺动脉前臂游离皮瓣。

The ulnar artery forearm free flap.

作者信息

Lovie M J, Duncan G M, Glasson D W

出版信息

Br J Plast Surg. 1984 Oct;37(4):486-92. doi: 10.1016/0007-1226(84)90136-x.

DOI:10.1016/0007-1226(84)90136-x
PMID:6498385
Abstract

The ulnar artery forearm flap is a reliable, versatile and convenient fasciocutaneous flap. Based on the ulnar artery distal to the common interosseous branch it may include muscle (FCU) tendon (PL) and bone (ulna). The arterial and venous anatomy allow a flow-through capability and a reversal of flow which permits its use as a distally pedicled island flap. Many of its properties are shared with the radial flap, but the ulnar flap has further advantages. The donor site is virtually hairless, easily closed even when bone is taken, and is less obvious as it lies on the proximal ulnar aspect of the forearm. The ulnar artery is not reconstituted and in 11 cases there has been no clinical evidence of any circulatory, sensory or motor impairment of the hand. The flap is especially useful in intra-oral reconstruction and has been valuable in the lower leg where it may restore deficient distal circulation.

摘要

尺动脉前臂皮瓣是一种可靠、多功能且便捷的筋膜皮瓣。基于骨间总支远端的尺动脉,它可包含肌肉(尺侧腕屈肌)、肌腱(掌长肌)和骨骼(尺骨)。其动静脉解剖结构具备血流通过能力以及血流逆转能力,这使其可用作远端蒂岛状皮瓣。它的许多特性与桡侧皮瓣相同,但尺侧皮瓣还有其他优势。供区几乎无毛,即便取了骨也易于闭合,且因其位于前臂尺骨近端而不太显眼。尺动脉无需重建,在11例病例中,手部没有任何循环、感觉或运动功能受损的临床证据。该皮瓣在口腔内重建中特别有用,在小腿部位也很有价值,可用于恢复远端血液循环不足的情况。

相似文献

1
The ulnar artery forearm free flap.尺动脉前臂游离皮瓣。
Br J Plast Surg. 1984 Oct;37(4):486-92. doi: 10.1016/0007-1226(84)90136-x.
2
[Distally pedicled posterior interosseous artery flap for the coverage of defects on the wrist and hand].带蒂远端骨间后动脉皮瓣修复腕手部缺损
Oper Orthop Traumatol. 2008 Jun;20(2):111-8. doi: 10.1007/s00064-008-1234-x.
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The ulnar island flap in hand and forearm reconstruction.手部及前臂重建中的尺侧岛状皮瓣
Br J Plast Surg. 1988 Jul;41(4):349-53. doi: 10.1016/0007-1226(88)90071-9.
4
Reconstruction of the hand with forearm island flaps.应用前臂岛状皮瓣进行手部重建。
Clin Plast Surg. 1997 Jan;24(1):33-48.
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Intraoperative hemodynamic evaluation of the radial and ulnar arteries during free radial forearm flap procedure.游离桡侧前臂皮瓣术中桡动脉和尺动脉的术中血流动力学评估。
J Reconstr Microsurg. 2010 Feb;26(2):73-7. doi: 10.1055/s-0029-1242135. Epub 2009 Nov 9.
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Ann Plast Surg. 1987 Jan;18(1):24-9. doi: 10.1097/00000637-198701000-00006.
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Perforator anatomy of the radial forearm free flap versus the ulnar forearm free flap for head and neck reconstruction.用于头颈部重建的桡侧前臂游离皮瓣与尺侧前臂游离皮瓣的穿支解剖
Int J Oral Maxillofac Surg. 2016 Aug;45(8):955-9. doi: 10.1016/j.ijom.2016.03.003. Epub 2016 Mar 21.
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[A new distally pedicled adipocutaneous perforator forearm flap].[一种新型远位蒂脂肪皮肤穿支前臂皮瓣]
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[Anterior interosseous flap].[骨间前侧皮瓣]
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2
Scrotal Reconstruction Using a Free Ulnar Forearm Flap: A Case Report.使用游离尺侧前臂皮瓣进行阴囊重建:一例报告
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How to Raise an Ulnar Free Forearm Flap: Demonstration of the Surgical Technique with Adjuncts and Refinements.
如何掀起尺侧游离前臂皮瓣:手术技术及辅助操作与改进演示
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Tailored Skin Flaps for Hand Reconstruction.用于手部重建的定制皮瓣
Plast Reconstr Surg Glob Open. 2022 Sep 30;10(9):e4538. doi: 10.1097/GOX.0000000000004538. eCollection 2022 Sep.
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Long-Term Donor Site Morbidity and Flap Perfusion Following Radial versus Ulnar Forearm Free Flap-A Randomized Controlled Prospective Clinical Trial.桡侧与尺侧前臂游离皮瓣术后供区长期并发症及皮瓣灌注情况——一项随机对照前瞻性临床试验
J Clin Med. 2022 Jun 22;11(13):3601. doi: 10.3390/jcm11133601.
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Reconstruction of Digital Defects with the Free Proximal Ulnar Artery Perforator Flap.应用游离尺动脉近端穿支皮瓣修复手指缺损
Plast Reconstr Surg Glob Open. 2022 Jan 27;10(1):e4054. doi: 10.1097/GOX.0000000000004054. eCollection 2022 Jan.
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Surg Radiol Anat. 2019 Nov;41(11):1325-1332. doi: 10.1007/s00276-019-02297-6. Epub 2019 Sep 17.
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Radial vs ulnar forearm flap: a preliminary study of donor site morbidity.桡侧与尺侧前臂皮瓣:供区并发症的初步研究
Acta Otorhinolaryngol Ital. 2019 Oct;39(5):322-328. doi: 10.14639/0392-100X-2102. Epub 2019 Mar 25.
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Appraisal of the Free Ulnar Flap Versatility in Craniofacial Soft-tissue Reconstruction.游离尺侧皮瓣在颅面软组织重建中的多功能性评估
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