【摘要】 目的　考察应用吻合血管的阔筋膜瓣游离移植 ,联合皮片修复手部软组织缺损的临床效果。方法　共行手术 8例 ,切取的阔筋膜瓣最大 6cm× 1 6cm ,最小 3cm× 8cm。结果　移植的阔筋膜瓣和皮片全部成活 ,取得了预期的效果。结论　以旋股外侧动脉降支为血管蒂的阔筋膜瓣 ,血管解剖恒定 ,蒂长 ,切取容易 ,且瓣较薄 ,适宜修复手部软组织缺损更多还原

【Abstract】 Objective This is to report the clinical experience in repair of the soft tissue defects of the hand using a free fascia lata flap and skin graft.Methods Eight cases of soft tissue defects of the hand were repaired with a fascia lata flap by means of microvascular anastomosis. The size of the fascia lata flap ranged from 2.5 cm× 7 cm to 6 cm×16 cm. Results All the fascia lata flaps survived completely with satisfactory results. Conclusion The flap is nourished by the descending branch of the lateral femoral circumflex artery and seems to have a constant vascular supply and a long pedicle. The dissection of the flap is easy. The flap is thin and very suitable for repair of soft tissue defects of the hand.更多还原