足底内侧动脉穿支皮瓣修复手部掌侧皮肤软组织缺损的手术方法及疗效

发布时间：2017-12-28 05:11

本文关键词：足底内侧动脉穿支皮瓣修复手部掌侧皮肤软组织缺损的手术方法及疗效　出处：《临床医药文献电子杂志》2016年37期 　论文类型：期刊论文

【摘要】：目的分析足底内侧动脉穿支皮瓣修复手部掌侧皮肤软组织缺损的手术方法,并观察其疗效。方法选取我院2014年1月~12月收治的进行手部掌侧皮肤软组织缺损修复的患者21例为研究对象,均选择为足底内侧动脉穿支,其中浅支穿支修复7例,深支内侧支穿支皮瓣修复6例,浅支穿支及深支内侧穿支联体皮瓣修复8例。其中皮瓣修复最小面积为4 cm×2 cm,最大面积为7 cm×5 cm。结果经6个月~12个月的回访可知,所有手术修复皮瓣均处成活状态,且弹性、色泽等皮肤特性良好。结论针对手部掌侧皮肤软组织缺损采用足底内侧动脉穿支皮瓣修复进行治疗可取的较为良好的手术效果,且成活率高、对动脉主干无损伤、手术切取过程方便,值得临床推广应用。
[Abstract]:Objective to analyze the methods of repairing the palmar skin and soft tissue defects of the hand with the perforator flap of the medial plantar artery, and to observe the curative effect. Methods in our hospital in January 2014 ~12 months were hand palm side with repair of skin and soft tissue defect in 21 cases as the research object, were selected for the medial plantar artery perforator, the superficial perforator flap in 7 cases, the medial branch of the deep branch of perforator flaps in 6 cases, and the superficial branch of the deep branch of medial perforator perforator flap conjoined repair of 8 cases. The minimum area of the flap was 4 cm x 2 cm, and the maximum area was 7 cm * 5 cm. Results after 6 months of ~12 months, all the surgical flaps were found to be alive, and the skin characteristics such as elasticity and color were good. Conclusion for the palmar skin and soft tissue defects of the hand, the medial plantar artery perforator flap can be used to repair the disease. It is a desirable and effective surgical procedure with high survival rate, no damage to arterial trunk and convenient operation. It is worthy of clinical application.
【作者单位】：山东省寿光市人民医院;
【分类号】：R658.2
【正文快照】： 在针对手部掌侧皮肤软组织缺损进行治疗时,修复手术一向是首要推崇的治疗手段[1-2]。本文中通过对在我院实施手部掌侧皮肤软组织缺损修复治疗的部分患者进行观察,以探究其疗效,现报道如下。1资料与方法1.1一般资料选取我院2014年1月~12月收治的进行手部掌侧皮肤软组织缺损修复

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