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吻合腓肠浅动脉游离小腿后侧皮瓣修复全手掌软组织缺损
引用本文:李强,于加平,申屠刚,王众,黄飞,于凤宾. 吻合腓肠浅动脉游离小腿后侧皮瓣修复全手掌软组织缺损[J]. 中国矫形外科杂志, 2003, 11(14): 968-969
作者姓名:李强  于加平  申屠刚  王众  黄飞  于凤宾
作者单位:解放军第98医院骨科,浙江,湖州,313000
摘    要:目的:研究修复全手掌软组织缺损的方法。方法:利用吻合腓肠浅动脉的小腿后侧皮瓣移植修复全手掌软组织缺损10例。结果:临床应用10例成活,其中1例于术后72h因动脉过长而栓塞,经取出血栓,再次吻合动脉,皮瓣成活,术后10~15个月随访,皮瓣外形近似正常手掌,两点辨别觉为5cm,感觉为S4。结论:利用吻合腓肠浅动脉皮瓣修复全手掌软组织缺损是一种可选的方法。

关 键 词:外科皮瓣 手掌 组织缺损 修复
文章编号:1005-8478(2003)14-0968-02
修稿时间:2002-10-23

Repair of the Full Palms Soft Tissue Defect with the Free Flaps Anastomosing with Superficial Peroneal Vessels
LI Qiang,YU Jia-ping,SHENG Tu-gang,et al.. Repair of the Full Palms Soft Tissue Defect with the Free Flaps Anastomosing with Superficial Peroneal Vessels[J]. The Orthopedic Journal of China, 2003, 11(14): 968-969
Authors:LI Qiang  YU Jia-ping  SHENG Tu-gang  et al.
Affiliation:LI Qiang,YU Jia-ping,SHENG Tu-gang,et al.The Hand Surgery Center of Nanjing,98 th Hospital of PLA,Huzhou 313000
Abstract:Objective:To search the methods for repairing the full palms soft tissue defects.Methods:Ten patients with this defect were treated with the free flaps anastomosing with the superficial peroneal vessels.Result:All flaps were survived except one flap with artery thrombosis 72 hours after operation because of overlong vessel pedicle,which was still survived after re-operation.Followed up for 10 to 15 months,the formation of the flaps is close to the normal palm,the sensitivity is S4 and the discrimination of two points is 5mm.Conclusion:The free flaps anastomosing the superficial peroneal vessels are satisfactory for repairing the soft tissue defect of full palm.
Keywords:Palm  Surgery flap  Tissue defect  Repair  
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