带蒂髂腹部真皮下血管网皮瓣修复手前臂软组织缺损

Treatment of soft tissue defects in hands and forearms by subcutaneous vascular net flap from lower abdomen

目的:探讨带蒂髂腹部真皮下血管网皮瓣修复手前臂软组织缺损的应用价值。方法:2008年8月至2011年1月,对16例手前臂软组织缺损的患者应用带蒂髂腹部真皮下血管网皮瓣进行修复,皮瓣面积9.0cm×5.0cm～15.0cm×20.0cm。供瓣区直接缝合。术后7～18天断蒂。结果:16例皮瓣全部成活,1例皮瓣远端起水疱,表皮坏死脱落,经换药自行愈合。10例获得3～10个月随访,皮瓣外形美观,无继发挛缩,受区外形和患肢功能恢复较满意。结论:带蒂髂腹部真皮下血管网皮瓣血供可靠,应用形式灵活多样,是修复手前臂软组织缺损的一种较理想选择。

Objective To investigate the application of subcutaneous vascular net flap from lower abdomen for soft tissue defects in hands and forearms.Methods From August 2008 to January 2010,16 cases with soft tissue defects in hands and forearms were treated using subcutaneous vascular net flap from lower abdomen,flap size ranged from 9.0cm×5.0cm to 15.0cm×20.0cm.The defects in lower abdomen were closed directly.7～18 days postopration,cut off the pedicles.Results Flaps all survived,all wounds were primarily healed.1 cases suffered delaying healing because of flap epidermis necrosis of the distal part.10 cases were followed up for 3 to 9 months with satisfactory aesthetic and functional results in the recipient areas,no contracture appearance.Conclusions The subcutaneous vascular net flap from lower abdomen has rich blood supply and great flexibility,which is practical and suitable for repair of soft tissue defects in hands and forearms.