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Published in last 50 years
目的 观察髂腹股沟皮瓣修复手部及上肢皮肤软组织缺损的治疗效果.方法对358例手部及上肢软组织缺损伴深部组织外露应用该皮瓣进行修复,面积4cm×4.5cm~15cm×22cm.结果本组358例,26例有不同程度的血运障碍,2例皮瓣部分坏死,余全部成活.随访10个月~5年,外观及功能满意.结论该皮瓣切取方便、血运丰富、质地良好,是修复手部及上肢软组织缺损的好方法。
目的 探讨游离肩胛皮瓣在修复手腕部软组织缺损中的应用价值.方法 1997年1月至2002年6月,用游离肩胛皮瓣修复手腕部软组织缺损25例,其中单纯手背侧缺损14例,手背、腕背均缺损9例,手掌侧缺损2例.按常规切取游离肩胛皮瓣,面积最大23cm×12cm,最小8cm×6cm;以旋肩胛动脉为血管蒂,蒂长4~6cm,平均5.1cm.结果 25例皮瓣全部存活,其中1例术后出现动脉危象,手术探查证实为吻合口栓塞,取栓后重新吻合血管,皮瓣存活.术后随访6个月~3年,皮瓣色泽、质地良好,厚度适宜.结论肩胛皮瓣血供可靠,切取方便,是修复手腕部软组织缺损较理想的皮瓣,可作为修复手背部软组织缺损的首选皮瓣。
Based on anatomical and dye injection observations, since 1984 42 cases of hand tissue defects (due to injury or surgery) have been reconstructed using a reverse flow unlar artery forearm island flap. Of the 42 cases, aetiology has included extensive crushing (25 cases), electric saw injuries (7 cases), burn scars (4 cases) and tissue defects following tumour or chronic ulcer resection (6 cases). Only one flap developed necrosis. The survival rate was 97.6%, including 4 cases of distal marginal necrosis. This procedure, therefore, offers a useful alternative in the repair and reconstruction of extensive tissue defects in the hand, whether caused by accidental injury or by surgery.