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尺动脉腕上穿支游离皮瓣在修复单指皮肤缺损中的应用
引用本文:王振旺,李军,王东利,赵少平.尺动脉腕上穿支游离皮瓣在修复单指皮肤缺损中的应用[J].职业与健康,2014(19):2847-2848.
作者姓名:王振旺  李军  王东利  赵少平
作者单位:河北联合大学附属骨科医院,唐山市第二医院,河北省唐山市063000
摘    要:目的探讨尺动脉腕上穿支微型游离皮瓣在修复单指皮肤缺损中的应用。方法 15例单指皮肤缺损患者,缺损面积为(1.5-2.6)cm×(2.5-3.4)cm,皮瓣以尺动脉腕上穿支为血管蒂,前臂供区直接缝合。结果 15例皮瓣全部成活,3例皮瓣外形臃肿,3个月后行皮瓣整形术。术后随访2个月-2年,平均9个月,患指功能与外观均满意。结论尺动脉腕上穿支微型皮瓣游离移植修复单指皮肤缺损是一种较为理想的方法。

关 键 词:外科皮瓣  穿支皮瓣  单指损伤  显微外科

Application of the flap with supracarpal cutaneous branch of ulnar artery in repairing skin defect of the single finger
WANG Zhen-wang,LI Jun,WANG Dong-li,ZHAO Shao-ping.Application of the flap with supracarpal cutaneous branch of ulnar artery in repairing skin defect of the single finger[J].Occupation and Health,2014(19):2847-2848.
Authors:WANG Zhen-wang  LI Jun  WANG Dong-li  ZHAO Shao-ping
Institution:(Orthopaedic Hospital Affiliated to Hebei United University, Tangshan, 063000, China)
Abstract: Objective] To explore the application of the flap with supracarpal cutaneous branch of ulnar artery in repairing skin defect of the single finger. Methods]A total of 15 patients with single finger skin defect, defect area (1.5 -2.6) cm × (2.5 N3.4} cm were recruited for this study. The forearm donor area were sutured directly, with ulnar artery branch as the pedicle. Results ] All repaired flaps survived, of which 3 cases received anaplasty after 3 months. Patients were followed up for 2 months-2 years, with an average of 9 months, the function of the finger and appearance was satisfactory. Conclusion] The flap with supracarpal cutaneous branch of ulnar artery is a ideal method for repairing skin defect of the single finger.
Keywords:: Surgical flap  Perforator flap  Single finger injury  Microsurgury
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