肘部肱动脉及皮肤软组织缺损的显微外科治疗

Microsurgical treatment of brachial artery and skin defect of the elbow

目的探讨应用小腿内侧皮瓣修复肘部肱动脉及皮肤软组织缺损的临床疗效.方法采用吻合血管的小腿内侧皮瓣一期修复肘部肱动脉及皮肤软组织缺损8例,对伴有神经缺损者同时给予修复.结果8例肢体及皮瓣均成活,随访7～16个月,8例患者肘部无瘢痕挛缩及皮瓣臃肿现象,肘关节功能恢复正常.结论腿内侧皮瓣移植是治疗肘部肱动脉及皮肤软组织缺损的较好方法.

Objective To investigate the clinical results of treatment of brachial artery and skin defect of the elbow with medial flap of leg. Methods 8 cases with elbow brachial artery and skin defect were treated with medial flap of leg. The associated nervous injuries were treated simultaneously. Results 8 flaps survived completely. All patients were followed up for 7 - 16 months. No scar contracture or flap thickness was found. The elbow function recovered satisfactorily. Conclusions Reconstruction with medial flap of leg has the advantages of primary repair of artery and skin defect, It is a better procedure for treatment of brachial artery, and skin defect of the elbow.