游离腹壁浅动脉筋膜穿支皮瓣修复手部创面

目的 报告应用游离腹壁浅动脉筋膜穿支皮瓣修复手部创面的临床效果.方法 对10例手部皮肤软组织缺损的患者,采用游离腹壁浅动脉筋膜穿支皮瓣进行修复,皮瓣切取面积为8cm×6cm～16cm×9cm.结果 术后1例皮瓣发生血管危象,经探查后存活,其余皮瓣全部顺利存活.经4～12个月的随访,皮瓣质地、外形优良,手功能恢复满意.术后供区伤口均Ⅰ期愈合,外形满意.结论 应用游离腹壁浅动脉筋膜穿支皮瓣可以一期修复创面,供区损伤小,是修复手部创面的理想选择.

Free superficial epigastric perforator fascio-cutaneous flap for soft tissue coverage of the hand

Objective To report the clinical results of soft tissue coverage of the hand using free superficial epigastric perforator fascio-cutaneous flap transfer. Methods Ten patients with soft tissue defects of the hand were treated with free superficial epigastric perforator fascio-cutaneous flap. The siaes of the flaps ranged from 8cm×6cm to 16cm×9cm. Results All flaps survived. Postoperative vascular crisis occurred in one case and the flap was salvaged after surgical exploration. After 4 to 12 months follow-up, both the texture and appearance of the flaps were excellent, and the function of hand recovered satisfactorily. The wound of donor area in all cases healed primarily. The appearance was satisfactory. Conclusion Free superficial epigastric perforator fascio-cutaneous flap can be transferred to repair soft tissue defect of the hand in one stage. Donor site morbidity is minor. It is an ideal method for soft tissue coverage of the hand.