| 掌背动脉皮穿支"哑铃型"筋膜皮瓣修复手指皮肤贯通缺损 |
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| 引用本文： | 林涧,郑和平,余云兰,王正理,吴春.掌背动脉皮穿支"哑铃型"筋膜皮瓣修复手指皮肤贯通缺损[J].中华整形外科杂志,2010,26(3). |
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| 作者姓名： | 林涧 郑和平 余云兰 王正理 吴春 |
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| 作者单位： | 1. 浙江省台州市博爱医院显微外科,318050
2. 南京军区福州总医院骨科研究所 |
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| 摘 要： | 目的 探讨掌背动脉皮穿支"哑铃型"筋膜皮瓣修复手指皮肤贯通缺损的治疗效果.方法 2006年2月至2009年8月,根据掌背动脉皮穿支的走行、分支与分布特点,将手背侧皮瓣设计成"哑铃型",转位修复手指皮肤贯通缺损9例.结果 术后皮瓣完全成活,创面一期愈合,随访1～18个月,皮瓣外形与手部功能恢复满意.结论 掌背动脉皮穿支"哑铃型"筋膜皮瓣是修复手指近节皮肤贯穿缺损的理想方法之一.
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| 关 键 词： | 掌背动脉 外科皮瓣 移植 显微外科手术 |
Repairing finger's penetrating soft tissue defects with "dumbbell" fascial metacarpal flap pedicled with skin perforator of dorsal metacarpal artery |
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| LIN Jian,ZHENG He-ping,YU Yun-lan,WANG Zheng-li,WU Ghun.Repairing finger's penetrating soft tissue defects with "dumbbell" fascial metacarpal flap pedicled with skin perforator of dorsal metacarpal artery[J].Chinese Journal of Plastic Surgery,2010,26(3). |
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| Authors: | LIN Jian ZHENG He-ping YU Yun-lan WANG Zheng-li WU Ghun |
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| Abstract: | Objective To assess the effect of"dumbbell"fascial metacarpal flap pedicled with skin perforator of dorsal metacarpal artery in treating the finger's penetrating soft tissue defect.Methods From February 2006 to August 2009.according to the courses,branches and distributions of the dorsal metacarpal artery.a"dumbbell"fascial metacarpal flap was designed and transposed to cover the penetrating soft tissue defects in 9 fingers. Results All of 9 flaps survived and got primary healing.The shape and function of the fingers were satisfied after 1-18 months period of follow-up. Conclusion The "dumbbell" fascial metacarpal flap pedicled with skin perforator of dorsal metacarpal artery is an ideal donor site for repairing the finger's penetrating soft tissue defect. |
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| Keywords: | Dorsal metacarpal arteries Surgical flap Transplantation Microsurgery |
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