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尺动脉腕上皮支上下行支为蒂的前臂逆行岛状皮瓣修复手部缺损

The reverse forearm flap pedicled with the ulnar branch of the ulnar artery

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【作者】 李建兵宋建良吴守成沈向前叶坡陈强王磊

【Author】 LI Jian-bing,SONG Jian-liang,WU Shou-cheng,SHEN Xiang-qian,YE Po, CHEN Qiang, WANG Lei.Hangzhou Plastic Surgery Hospital,Hangzhou 310014, China ;

【机构】 浙江省杭州市整形医院浙江省杭州市整形医院 310014杭州310014杭州

【摘要】 目的介绍一种修复手部创面的皮瓣设计。方法尺动脉腕上皮支下行支与腕背动脉弓交通,形成尺动脉腕上皮支上下行支为蒂的前臂逆行岛状皮瓣修复手部缺损。结果2000年4月~2003年10月于临床应用8例,其中修复手背和指背创面3例、手掌创面2例、第1指间隙创面3例。所有皮瓣均成活,伤口一期愈合,外形满意。结论该皮瓣血管蒂长、供区隐蔽,为手部深度创面修复提供了一种新的方法

【Abstract】 Objective\ To introduce a new flap for the repair of soft tissue defects in the hand. Methods\ The distally pedicled ulnar flap is based on the ascending branch of the upper\|wrist cutaneous branch of the ulnar artery.The retrograde flow is ensured by the dorsal carpal arch via the descending branch. Results\ From 2000 to 2003,the flap was used to treat 8 cases of hand defects,including 3 dorsal defects,2 palmar defects and 3 the first web defects.All flaps survived and the appearance was satisfactory. Conclusions\ The reverse forearm flap pedicled with the ulnar branch of the nlnar artery provides a long vascular pedicle.The donor site scar is aesthetically acceptable.\;

【关键词】 逆行岛状皮瓣
【Key words】 HandSurgical flap
  • 【文献出处】 中华整形外科杂志 ,Chinese Journal of Plastic Surgery and Burns , 编辑部邮箱 ,2004年06期
  • 【分类号】R658
  • 【被引频次】9
  • 【下载频次】92
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