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拇指背侧皮神经营养血管逆行皮瓣的临床应用
引用本文:蔡湘波,罗胜明,陈峰,李文壮,李汛.拇指背侧皮神经营养血管逆行皮瓣的临床应用[J].实用手外科杂志,2007,21(2):90-92.
作者姓名:蔡湘波  罗胜明  陈峰  李文壮  李汛
作者单位:广州开发区医院,显微手外科,广东,广州,510730
摘    要:目的 总结拇指背侧皮神经营养血管逆行皮瓣转移修复拇指远端皮肤软组织缺损的临床效果与体会.方法 应用拇指背侧皮神经营养血管逆行皮瓣修复拇指远端皮肤软组织缺损23例.结果 20例完全成活,3例因静脉回流障碍而部分坏死.结论 本组皮瓣易切取、损伤小,不牺牲主干动脉,供区多可直接闭合,是修复拇指远端特别是桡侧皮肤软组织缺损的良好方法.

关 键 词:皮神经营养血管  逆行皮瓣  拇指
文章编号:1671-2722(2007)02-0090-03
修稿时间:2006-06-21

Clinical application of reverse-flow nap of dorsal thumb cutaneous nerve nutrition blood vessels
CAI Xiang-Bo, LUO Sheng-Ming, CHEN Feng, et al.Clinical application of reverse-flow nap of dorsal thumb cutaneous nerve nutrition blood vessels[J].Chinese Journal of Practical Hand Surgery,2007,21(2):90-92.
Authors:CAI Xiang-Bo  LUO Sheng-Ming  CHEN Feng  
Institution:Department of Microsurgery,Guangzhou Development District Hospital,Guangzhou 510730,China
Abstract:Objective To summarize the clinic result and experience of repairing the defect of the distal part of thumb soft tissue by reverse flow flap of dorsal thumb cutaneous nerve nutrition blood vessels.Methods By applying reverse flow flap of dorsal thumb cutaneous nerve nutrition blood vessels to repair the defect of thumb soft tissue, 23 cases were studied.Results Twenty cases completely survived, 3 cases had partial necrosis due to venous reflux disturbance.Conclusion The procedure is easy with little damage and can avoid important blood vessel damage.There are many donor sites which can be directly closed. It is an exceUent way to repair the defect of the distal part of thumb soft tissue, radial skin in particular.
Keywords:Cutaneous nerve nutrition blood vessels  Reverse-flow flap  Thumb
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