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尺动脉腕上支皮瓣修复手部皮肤缺损
引用本文:李昶,郑鹏飞,马志新,白志刚,王润生,王爱国. 尺动脉腕上支皮瓣修复手部皮肤缺损[J]. 临床骨科杂志, 2004, 7(2): 133-135
作者姓名:李昶  郑鹏飞  马志新  白志刚  王润生  王爱国
作者单位:内蒙古医学院第二附属医院显微手足外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院显微手足外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院显微手足外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院显微手足外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院显微手足外科,内蒙古,呼和浩特,010030;内蒙古医学院第二附属医院显微手足外科,内蒙古,呼和浩特,010030
基金项目:内蒙古教育厅重点领域项目 (编号 :ZL0 0 0 8)
摘    要:目的 对尺动脉腕上支皮瓣的手术方法进行改进。方法 新鲜成人上肢标本20侧,对前臂尺动脉腕背支进行解剖测量,对皮瓣的切取方法进行改进。临床应用尺动脉腕上支皮瓣修复手掌、手背、小鱼际、大鱼际、拇指的皮肤缺损创面18例,提出了避免皮瓣坏死的方法。结果 15例全部成活,3例大部成活,且对供区的功能影响很小。结论 尺动脉腕上支皮瓣在应用过程中,有许多不确定的干扰因素,应以准确的解剖学知识、丰富的经验为基础灵活掌握。

关 键 词:前臂损伤  尺动脉  外科皮瓣  皮肤移植
文章编号:1008-0287(2004)02-0133-03
修稿时间:2003-09-05

Skin defect repaired by flap of suprawrist cutaneous branch of ulnar artery
Li Chang,Zheng Pengfei,Ma Zhixin,Bai Zhigang,Wang Runsheng,Wang Aiguo. Skin defect repaired by flap of suprawrist cutaneous branch of ulnar artery[J]. Journal of Clinical Orthopaedics, 2004, 7(2): 133-135
Authors:Li Chang  Zheng Pengfei  Ma Zhixin  Bai Zhigang  Wang Runsheng  Wang Aiguo
Abstract:Objective To improve the surgical method of suprawrist cutaneous branch flap of ulnar artery. Methods 20 forearms of the adult fresh cadaver were enrolled,and the suprawrist cutaneous branch of ulnar artery were measured. With the improved harvest method, the flaps were used to repair skin defects in 18 cases, of which included palm, dorsum,thenar,hypothenar and the thumb. Results 15 cases survived completely, and 3 cases survived in major part. There was little impairment on donor. Conclusion There are many indefinite factors on the application of suprawrist cutaneous branch flap. It should be based on accurate dissection and experienced skills.
Keywords:forearm injuries  ulnar artery  surgical flaps  skin transplantation
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