Application of perforator flaps pedicled with posterior interosseous artery for the repair of soft tissue defects in hands
扫码查看
点击上方二维码区域，可以放大扫码查看
原文链接
NETL
NSTL
维普
万方数据
目的 探讨以骨间背动脉微型穿支皮瓣美容修复手部软组织缺损的手术方法和临床效果. 方法 自2009年11月至2014年6月,对42例(48指)软组织缺损采用骨间背动脉微型穿支皮瓣进行修复,皮瓣切取面积0. 8 cm × 1. 2 cm~3. 0 cm × 2. 5 cm. 皮瓣转移至受区创面后,应用超显微外科技术对皮瓣削薄整形. 结果 术后随访3~12个月,皮瓣全部成活,质地柔软,外观美化. 按Mackinnon-Dellon感觉功能评定标准,皮瓣感觉恢复至S3+,静态两点辨别觉为6~8 mm. 供区只遗留不明显线性瘢痕. 结论 采用骨间背动脉微型穿支皮瓣游离移植修复手部软组织缺损是符合医学美学的手术方法,通过显微削薄技术,皮瓣外形美化,功能良好,供区损伤小,符合微创要求.
Objective To investigate the surgical methods and clinical effect of perforator flap with posterior interosseous artery pedicle for the repair of hands' soft tissue defects. Methods From November 2009 to June 2014,soft tissue defects of 48 fingers in 42 patients were? repaired by perforator flaps with posterior interosseous artery pedicle. The largest flap was about 3. 0 cm × 2. 5 cm,while,the minimum was about 0. 8 cm × 1. 2 cm. Ultra microsurgical techniques for shaping were performed after flaps transplatation. Results The patients were followed up for 3 to 12? months,and all flaps survived with soft texture and aesthetic ap-pearance. According to? Mackinnon-Dellon sensory evaluation criteria, flap feeling restored to S3+. Static two-point discrimination was 6 to 8 mm. Only obvious linear scar left in supply area. Conclusion Perforator flap of posterior interosseous artery for the repair of hand soft tissue defect is an ideal minimally invasive surgical method, which consistent with the aesthetic outcome and normal function.
NETL
NSTL
维普
万方数据
