实用手外科杂志2024,Vol.38Issue(4) :466-468.DOI:10.3969/j.issn.1671-2722.2024.04.012

携带深筋膜的骨间背皮瓣修复手背部伴有空腔的软组织缺损

Interosseous dorsal skin flap carrying deep fascia for the treatment of soft tissue defects in the back of the hand with cavities

郭嘉桐 高顺红 胡宏宇 于俊 董惠双 张云鹏 周彤
实用手外科杂志2024,Vol.38Issue(4) :466-468.DOI:10.3969/j.issn.1671-2722.2024.04.012

携带深筋膜的骨间背皮瓣修复手背部伴有空腔的软组织缺损

Interosseous dorsal skin flap carrying deep fascia for the treatment of soft tissue defects in the back of the hand with cavities

郭嘉桐 1高顺红 2胡宏宇 2于俊 2董惠双 2张云鹏 2周彤2
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作者信息

  • 1. 华北理工大学研究生院,河北 唐山 063210
  • 2. 华北理工大学附属骨科医院(唐山市第二医院)手外二科,河北 唐山 063000
  • 折叠

摘要

目的 探讨携带深筋膜的骨间背皮瓣治疗伴有空腔的手背软组织缺损的方法和疗效.方法 选取2014年8月-2022年8月唐山市第二医院手外科收治的11例外伤导致手背软组织缺损伴空腔患者,设计携带深筋膜骨间背动脉为蒂的皮瓣,皮瓣切取面积:4.5 cm×6.0 cm~10.0 cm×8.0 cm,携带的深筋膜大小:2.0 cm×1.5 cm×2.5 cm~3.0 cm×2.5 cm×2.5 cm.结果 术后11例皮瓣均顺利成活,患者获8~24个月随访,皮瓣颜色与周围正常组织相近,皮缘平整,皮瓣血运良好,手部功能恢复良好.结论 携带深筋膜的骨间背皮瓣修复伴有空腔的手背软组织缺损可获得较好疗效.

Abstract

Objective To summarize the methods and efficacy of 11 cases of dorsal interosseous flap with deep fascia in the treatment of soft tissue defects on the back of the hand with cavities.Methods Selected 11 patients with soft tissue defects with cavities in the back of the hand caused by trauma admitted to the Hand Surgery Department of Tangshan Second Hospital from August 2014 to August 2022,designed a skin flap pedicled with the dorsal interosseous artery carrying the deep fascia,the cutting area of the skin flap was from 4.5 cm×6.0 cm to 10.0 cm×8.0 cm,the size of the deep fascia carried was from 2.0 cm×1.5 cm×2.5 cm to 3.0 cm×2.5 cm×2.5 cm.Results All 11 flaps in this group survived smoothly,patients were followed up for 8-24 months,the color of the flap was similar to that of the surrounding normal tissue,the skin margin was flat,the blood supply of the flap was good,and the hand function was restored well.Conclusion Interosseous dorsal flap carrying deep fascia can achieve good therapeutic effect in the treatment of soft tissue defects in the back of the hand.

关键词

手背/软组织缺损/骨间背皮瓣/皮瓣移植/空腔

Key words

Opisthenar/Soft tissue defect/Interosseous dorsal flap/Flap transplantation/Cavity

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出版年

2024
实用手外科杂志
沈阳市手外科研究所

实用手外科杂志

影响因子:0.584
ISSN:1671-2722
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