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find Keyword "前臂创面" 2 results
  • IMPROVED PEDICLED SUPERFICIAL ILIAC CIRCUMFLEX ARTERY FLAP FOR RECONSTRUCTION OF HAND AND FOREARM WOUNDS

    Objective To explore the effectiveness of the improved pedicled superficial iliac circumflex artery flap for repairing serious wound of the hand and forearm. Methods Between June 2008 and June 2011, 13 cases of serious wound of the hand and forearm were treated. There were 9 males and 4 females with a mean age of 41 years (range, 23-64 years). The disease causes included twist injury by machine in 2 cases, wire rope squeezed injury in 4 cases, traffic accident injury in 3 cases, crushing injury in 2 cases, high voltage electrical injury in 1 case, and snake bites in 1 case. There were 10 cases of fresh wounds and 3 cases of infection and necrosis wounds, and all had bone and tendon exposure. The skin and soft tissue defects ranged from 7 cm × 3 cm to 22 cm × 6 cm. The pedicled iliac artery flap was used in 8 cases, and pedicled iliac artery composite flap in 5 cases. The flap size ranged from 12 cm × 4 cm to 27 cm × 8 cm, with the flap pedicle of 2-4 cm wide strip and 3-5 cm wide fascia. Results The pedicle of flap was cut at 3 weeks in 12 patients, and at 4 weeks in 1 patient who had partial avulsion and hemorrhage at 1 week after operation. All flaps survived and incisions at donors and wounds healed by first intention. Eleven patients were followed up 6-36 months (mean, 20 months). The flap color and texture were good; 3 bulky flaps were observed, and satisfactory appearance was achieved after skin flap thinning. After 6 months, the protective sensation recovered in all cases; according to the Hand Surgery Society of Chinese Medical Association evaluation of upper extremity function trial standard for total active motion of the fingers, the results were excellent in 9 cases, good in 1 case, and poor in 1 case. Conclusion Improved fascia pedicled superficial iliac circumflex artery skin flap can repair serious hand and forearm injury, which is easy-to-operate and less injury at donor site.

    Release date:2016-08-31 04:24 Export PDF Favorites Scan
  • 改良肋间动脉穿支蒂胸腹部皮瓣修复前臂创面

    目的总结改良肋间动脉穿支蒂胸腹部皮瓣修复前臂创面的疗效。 方法2009年10月-2012年10月,采用改良肋间动脉穿支蒂胸腹部皮瓣修复24例前臂创面。男14例,女10例;年龄19~54岁,平均37岁。前臂恶性肿瘤切除后缺损5例;机器绞榨伤8例,交通事故伤5例,重物压伤5例;玻璃刺伤伴创面感染1例。创面均伴骨、肌腱外露,皮肤软组织缺损范围为8cm×5cm~22cm×13cm。皮瓣切取范围为12cm×6cm~27cm×13cm,其中2例采用复合组织瓣修复。供区直接缝合或植皮修复。 结果术后除1例皮瓣远端发生部分坏死,其余患者皮瓣及供区植皮均顺利成活,创面Ⅰ期愈合。患者均获随访,随访时间6~36个月,平均20个月。皮瓣色泽、质地良好;3例皮瓣外形臃肿,其余外形满意,术后6个月皮瓣均恢复保护性感觉;根据中华医学会手外科学会上肢部分功能评定试用标准评定手指总主动活动度,获优21例,良3例。 结论改良肋间动脉穿支蒂胸腹部皮瓣蒂部旋转设计灵活,具有手术操作简便、供区损伤小、血供可靠、切取面积大等优点,是修复前臂创面理想皮瓣之一。

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