| 胡长青,闫厚军,杜钰,付贯中,考树均.尺动脉腕上支皮瓣逆行转位修复手部大面积缺损[J].中国烧伤创疡杂志,2012,24(1):40~43. |
| DOI：10.3969/j.issn.1001-0726.[year].[issue].[sequence] |
| 中文关键词: 尺动脉腕上肢 皮瓣 移植 软组织缺损 |
| 英文关键词:Supra-wrist Branch of the Ulnar Artery Flaps Transplantation Soft issue defect |
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| 中文摘要: |
| 目的 评价尺动脉腕上支皮瓣用于修复手部大面积软组织缺损的临床效果。方法 对１３例手部大面积皮肤软组织缺损应用尺动脉腕上支皮瓣进行修复，皮瓣最小１０ｃｍ×５ｃｍ，最大１８ｃｍ×９ｃｍ，术后随访６个月，观察疗效。结果 １３例手术均顺利完成，所有皮瓣均成活，随访６个月，皮瓣血运良好，质地柔软，耐磨，感觉恢复达Ｓ３＋，两点分辨率为５ｍｍ～１１ｍｍ。结论 尺动脉腕上支皮瓣用于修复手部大面积软组织缺损时安全、可靠，临床效果良好。 |
| 英文摘要: |
| Objective: To evaluate the clinical effect of the use of a free flap taken from the supra-wrist branch of the ulnar artery in the reconstruction of the extensive soft tissue defects of the hands. Methods: 13 cases with extensive soft tissue defects of the hands were reconstructed with the free flap taken from supra-wrist branch of the ulnar artery. The minimum flap size was 10cm×5cm, while the maximum was 18cm×9cm. Follow up had been done for 6 months after the free flaps operation. Results: All the surgical processes of 13 free flaps operations were smooth and all flaps survived. During the 6 months of follow-ups after operations, the flaps were soft and wear resistant with good blood circulation, and sensation recovery of up to S3+ (two-point discrimination is within the range of 5mm~11mm). Conclusion: Free flap taken from supra-wrist branch of the ulnar artery used in the reconstruction of extensive soft tissue defects of the hands can achieve good clinical efficacy with the advantages of safety and reliability. |
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