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叠加供血皮瓣在手外科的应用

Application of superimposed flaps in hand surgery

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【作者】 刘伟张辉沈勇富玲

【Author】 LIU Wei, ZHANG Hui, SHEN Yong, FU Ling. Department of Hand Surgery, Affiliated Central Hospital, Shenyang Medical College, Shenyang 110024, China

【机构】 沈阳医学院附属中心医院手外科沈阳医学院附属中心医院手外科 110024沈阳市110024沈阳市

【摘要】 目的探讨叠加供血皮瓣在手外科的应用。方法1998年3月~2003年12月,应用非主干血管皮瓣加皮神经营养皮瓣修复手部皮肤缺损35例,面积1cm×1cm~6cm×8cm。结果术后33例成活,2例由于皮瓣设计不当坏死,术后随访6~12个月,皮瓣质地、色泽与周围正常组织相似,无臃肿。结论叠加供血皮瓣供血可靠、切取方便,是修复手部皮肤缺损理想皮瓣。

【Abstract】 Objective To probe the application of superimposed flaps in hand surgery. Methods Form March 1998 to December 2003, we repaired 35 cases of skin defects with non trunk blood flaps and neurocutaneous vascular flaps. The area of flaps ranged from 1cm×1cm to 6cm×8cm. Results After operation, the flaps in 33 cases survived, but died in 2 cases due to unsuitable design. The follow ups ranging from 6 to 12 months showed that the quality and color of the survived flaps were similar to those of the normal tissue around. No swelling was found. Conclusion The superimposed flaps have reliable blood supply so that they are an ideal means to repair skin defects of hand.

【关键词】 外科皮瓣手外伤
【Key words】 Surgical flapInjury of hand
  • 【文献出处】 中华创伤骨科杂志 ,Chinese Journal of Orthopaedic Trauma , 编辑部邮箱 ,2004年11期
  • 【分类号】R658.2
  • 【下载频次】35
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