摘要
目的探讨应用游离肱三头肌外侧头肌皮瓣修复前臂软组织缺损的方法。方法采用吻合血管的肱三头肌外侧头肌皮瓣移植修复6例前臂软组织缺损。肌皮瓣面积最大为14cm×8cm,最小 9cm×5cm。结果6例肱三头肌外侧头肌皮瓣全部存活。术后1例发生血管危象,经手术探查重新吻合血管后存活。6例病人均得到随访,皮瓣外形及功能满意。结论肱三头肌外侧头肌皮瓣具有解剖位置恒定,血管蒂较长,口径粗,血运丰富,抗感染能力强和其皮肤与前臂皮肤组织结构相近等特点,是一种修复前臂软组织缺损的有效方法。
Objective To introduce major complex tissue defect in the forearm. Methods LHTFMF was carried out in 6 patients. Results All flaps survived successfully in 6 patients . Blood vessel crisis occurred in 1 free Musculocutaneous flap after operation and the 1 free Musculocutaneous flap survived finally by exploring and anastomoses vessels.6 patients were all followed-up and had fine appearance and function. Conclusion LHTFMF enjoy the characteristics of invariable anatomise position , long blood vessel pedicel , wide diameter of blood vessel, abundant blood supply, anti-infection ability and its skin fabric resembling that of forearm and it is an effective method for the treatment of major complex tissue defect in the forearm.
出处
《中华手外科杂志》
CSCD
北大核心
2006年第3期165-166,共2页
Chinese Journal of Hand Surgery
关键词
外科皮瓣
前臂
创伤和损伤
肌皮瓣
Surgical-flaps
Forearm
Wounds and injuries
Musculocutaneous flaps
