手前臂背侧复合软组织缺损的修复与功能重建

REPAIR AND FUNCTION RECONSTRUCTION OF COMPLEX SOFT TISSUE DEFECT OF POSTERIOR OF HOND AND FOREARM

目的 探讨手及前臂背侧复合软组织缺损的修复与功能重建。 方法 2 0 0 1年 5月～ 2 0 0 3年 11月 ,对 8例前臂及手部背侧复合软组织缺损患者一期采用胸腹部带蒂皮瓣修复缺损 ,二期采用肌腱移位加多条同种异体肌腱移植重建伤手功能 ,皮瓣范围为 9cm× 15 cm～ 12 cm× 38cm,异体肌腱移植最多 6条。 结果 术后 8例皮瓣均成活 ,外形好 ,异体肌腱移植效果满意 ,伤手功能恢复良好。 结论 胸腹部带蒂皮瓣加多条同种异体肌腱移植修复手及前臂背侧复合软组织缺损 ,具有损伤小、皮瓣外形好。

Objective To study the repair and function reconstruction of complex soft tissue defect of posterior of hand and forearm. Methods From May 2001 to November 2003, 8 cases of soft tissue defect of posterior of hand and forearm were repaired with thoracico abdominal flaps with hilum for primary stage. The tendon transplantation and allogeneic tendon function reconstruction of hand were performed for secondary stage. The range of the flap was 9 cm×15 cm to 12 cm×38 cm. Allogeneic tendon amounted to 6. Results All the flaps survived. The flap countour was good. The results of allogeneic tendon transplantation were satisfactory and the function of hand was good. Conclusion Repairing complex soft tissue defect of posterior of hand and forearm and reconstructing hand function by use of thoracico abdominal flaps with hilum and transplantation of allogeneic tendon have the satisfactory clinical results.