吻合血管的阔筋膜瓣游离移植及皮片修复手部创伤性缺损

Repair of soft tissue defect of the hand with a fascia lata flap by microvascular anastomosis

目的 考察应用吻合血管的阔筋膜瓣游离移植 ,联合皮片修复手部软组织缺损的临床效果。方法 共行手术 8例 ,切取的阔筋膜瓣最大 6cm× 1 6cm ,最小 3cm× 8cm。结果 移植的阔筋膜瓣和皮片全部成活 ,取得了预期的效果。结论 以旋股外侧动脉降支为血管蒂的阔筋膜瓣 ,血管解剖恒定 ,蒂长 ,切取容易 ,且瓣较薄 。

Objective This is to report the clinical experience in repair of the soft tissue defects of the hand using a free fascia lata flap and skin graft.Methods Eight cases of soft tissue defects of the hand were repaired with a fascia lata flap by means of microvascular anastomosis. The size of the fascia lata flap ranged from 2.5 cm× 7 cm to 6 cm×16 cm. Results All the fascia lata flaps survived completely with satisfactory results. Conclusion The flap is nourished by the descending branch of the lateral femoral circumflex artery and seems to have a constant vascular supply and a long pedicle. The dissection of the flap is easy. The flap is thin and very suitable for repair of soft tissue defects of the hand.