应用带蒂肱桡肌肌瓣修复前臂近端热压伤创面

Application of pedicled muscular flaps of brachioradialis in repairing wounds at proximal forearm resulted from hot crush injury

目的探讨应用带蒂肱桡肌肌瓣修复前臂近端热压伤创面的临床效果。方法2003年2月至2008年12月，我们对5例前臂近端热压伤刨面的患者，应用带蒂肱桡肌肌瓣进行修复，肌瓣面积为6cm×4cm-9cm×5cm，供瓣区直接缝合或移植皮片修复。结果本组移位肌瓣全部成活。4例患者获得3个月。3年的随访，受区外形与功能均满意，供区外形及功能无明显影响。结论带蒂肱桡肌肌瓣在覆盖创面的同时，还可对部分患者伴有的伸肌缺损进行修复，是修复前臂近端热压伤创面的一种理想方法，值得临床推广应用。

Objective To explore the clinical effects of pedicled muscular flaps of brachioradialis in repairing wounds at proximal forearm resulted from hot crush injury. Methods From February 2003 to December 2008, 5 wounds at proximal forearm resulted from hot crush injury were repaired with pedicled muscular flaps of brachioradialis. The size of muscular flaps ranged from 6 cm × 4 cm - 9 cm ×5 cm. The wounds at donor sites were closed directly or by free skin grafts. Results All the muscular flaps of brachioradialis were survived completely. 4 patients were followed up for 3 to 36 months. The cosmetic and functional results were satisfactory both in recipient areas and in donor sites. Conclusions Pedicled muscular flap of brachioradialis can not only repair wounds at proximal forearm resulted from hot crush injury, but also repair extensor muscle defects. It is an ideal method and is very practical.