尺动脉腕上支皮瓣修复手部软组织缺损

Repair of the hand's soft tissue defect with free flap taken from the supra-wrist branch of the ulnar artery

目的探讨应用尺动脉腕上支皮瓣修复手部软组织缺损的临床疗效。方法采用尺动脉腕上支皮瓣修复15例手部软组织缺损患者,创面面积为5 cm×8 cm^6 cm×13 cm。结果 15例15块皮瓣全部成活,未发生血管危象,无皮瓣边缘坏死。15例均获随访,时间6~12个月。皮瓣质地、色泽外观及感觉功能恢复满意。结论应用尺动脉腕上支皮瓣修复手部软组织缺损疗效满意。

Objective To evaluate clinical effect of free flap taken from the supra-wrist branch of ulnar artery in re-construction of extensive soft tissue defects of hands. Methods 15 patients of skin and soft tissue defects were re-paired with free flaps taken from supra-wrist branch of ulnar artery. The defect sizes were 5 cm × 8 cm^6 cm × 13 cm. Results All the free flaps survived completely without vascular crisis or necrosis. All the patients were followed up from 6 months to 12 months. Texure,color,appearance and function of skin flaps had a good recovery. Conclu-sions Free flap taken from supra-wrist branch of ulnar artery used in the reconstruction of extensive soft tissue de-fects of the hands can achieve good clinical efficacy with advantages of safety and reliability.