前臂背桡侧穿支皮瓣游离移植修复手指软组织缺损

doi:10.3760/cma.j.issn.1005-054X.2009.02.004

科研成果详情

题名	前臂背桡侧穿支皮瓣游离移植修复手指软组织缺损
其他题名	Free radiodorsal forearm perforator flap transfer in the treatment of soft tissue defect of the finger
作者	高伟阳1; 张峰2; 李志杰1; 李晓阳1; 蒋良福1; 虞庆1
发表日期	2009-04-10
发表期刊	中华手外科杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	外科皮瓣指损伤显微外科手术
其他关键词	Surgical flaps ; Finger injuries ; Microsurgery
摘要	目的报告前臂背桡侧穿支皮瓣的手术方法和临床疗效。方法设计前臂背桡侧穿支皮瓣游离移植,修复手指皮肤软组织缺损,临床应用17例20指。结果 20块皮瓣全部存活。12例获得3～12个月的随访,5例失访。皮瓣外观不臃肿;修复指背者,皮瓣色泽接近受区,但修复指腹者皮瓣色泽与受区有差异。修复指腹并缝合指神经者9例10指,其中获得9～12个月随访者6例,皮瓣感觉恢复均达S3,两点分辨觉为8～12mm。所有供区创面均直接缝合,仅遗留线状瘢痕。结论前臂背桡侧穿支皮瓣血管入皮点恒定,血管蒂口径能满足吻合的要求。修复手指外观满意,通过缝合指神经能恢复良好感觉。
其他摘要	Objective To introduce the surgical techniques and clinical results of radiodorsal forearm perforator flap. Methods Radiodorsal forearm perforator flap was designed and harvested for free transfer to cover soft tissue defect of the fingers. A total of 20 flaps were applied clinically in 20 fingers of 17 cases. Results All 20 flaps survived. Twelve cases were followed for 3 to 12 months. Five cases were lost for follow up. The flaps were thin. The color of the flaps was closed to that of the recipient sites in dorsal finger defects. But there was a difference in color when the flap was used to cover palmar finger defects. The flap was employed to reconstruct finger pulp with digital nerve coaptation in 10 fingers of 9 cases. Among those 6 cases were followed up for 9 to 12 months. Sensation of the flaps recovered to S_3. Two-point discrimination was 8 to 12 mm. All the donor site wound were closed primarily. Only linear scar was left. Conclusion Radiodorsal forearm perforator flap has a constant perforator. The calibre of the vascular pedide is big enough for anastomosis. The fingers repaired with this flap had a good shape and satisfactory sensory recovery can be achieved by nerve coaptation.
资助项目	温州市科技局重点项目（y20080082）
ISSN	1005-054X
卷号	25 期号:02 页码:71-73
DOI	10.3760/cma.j.issn.1005-054X.2009.02.004
页数	0
收录类别	CNKI ; 万方 ; 北大核心 ; PKU ; CSCD ; ISTIC
学科领域	医药、卫生 ; 外科学
URL	查看原文
CSCD记录号	CSCD:3649401
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/77665
专题	第二临床医学院、附属第二医院、育英儿童医院第一临床医学院（信息与工程学院）、附属第一医院_外科学_整形外科
作者单位	1.温州医学院附属第二医院手外科; 2.温州医学院附属第二医院整形外科
第一作者单位	第二临床医学院，附属第二医院、育英儿童医院; 附属第二医院; 手外科; 外科
第一作者的第一单位	第二临床医学院，附属第二医院、育英儿童医院
推荐引用方式 GB/T 7714	高伟阳,张峰,李志杰,等. 前臂背桡侧穿支皮瓣游离移植修复手指软组织缺损[J]. 中华手外科杂志,2009,25(02):71-73.
APA	高伟阳, 张峰, 李志杰, 李晓阳, 蒋良福, & 虞庆. (2009). 前臂背桡侧穿支皮瓣游离移植修复手指软组织缺损. 中华手外科杂志, 25(02), 71-73.
MLA	高伟阳,et al."前臂背桡侧穿支皮瓣游离移植修复手指软组织缺损".中华手外科杂志 25.02(2009):71-73.