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腹部带蒂皮瓣修复手部组织缺损方法的改进
引用本文:Huang SR,Li XY,Wang H,Liu JT. 腹部带蒂皮瓣修复手部组织缺损方法的改进[J]. 南方医科大学学报, 2011, 31(10): 1771-1773. DOI: 44-1627/R.20111003.1001.003
作者姓名:Huang SR  Li XY  Wang H  Liu JT
作者单位:解放军第180医院烧伤整形科,福建泉州,362000
基金项目:南京军区“十一五”计划课题(09MA073)
摘    要:目的探讨改进腹部带蒂皮瓣修复手部软组织缺损的方法及可行性。方法自1997年1月~2010年10月,临床应用腹部带蒂皮瓣修复手部组织缺损108例,采用分段结扎皮瓣行早期断蒂及提前分指、辅助皮瓣封闭供瓣区、薄皮瓣及全厚皮片应用等新方法。结果单纯结扎蒂部68例,平均断蒂时间10 d,断蒂及并指分离同时进行者40例,平均时间提前至术后16 d,断蒂及分指后皮瓣无一例坏死;供瓣区一期愈合率达96.8%。结论采用本方法可以使皮瓣断蒂及分指提前同时进行,供受区外观功能恢复良好,方法简便易行,安全可靠。

关 键 词:  皮瓣  创面修复

An improved technique for repairing hand defects with abdominal pedicled flaps
Huang Shu-run,Li Xiao-yi,Wang Hao,Liu Jiang-tao. An improved technique for repairing hand defects with abdominal pedicled flaps[J]. Journal of Southern Medical University, 2011, 31(10): 1771-1773. DOI: 44-1627/R.20111003.1001.003
Authors:Huang Shu-run  Li Xiao-yi  Wang Hao  Liu Jiang-tao
Affiliation:HUANG Shu-run,LI Xiao-yi,WANG Hao,LIU Jiang-tao Department of Burn Surgery,180 Hospital of PLA,Quanzhou 362000,China
Abstract:Objective To explore the feasibility a modified method for repairing hand soft tissue defects using abdominal pedicle flaps.Methods Between January 1997 and October 2010,abdominal pedicle flaps were used to repair hand soft tissue defects in 108 cases.A strategy of segmented skin-flap ligations was adopted for early pedicle cut-off with early separation of the combined fingers,donor site closure with auxiliary flaps and application of thin flap and full-thickness skin graft.Results Ligation of the pedicle s...
Keywords:hands  skin flap  wound repair  
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