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游离骨间后动脉穿支皮瓣结合肌肉筋膜修复手部复合组织缺损

李一 胡浩良 王晓峰 俞淼 周映玲 陆陈林

中国现代医生2023,Vol.61Issue(34):44-47,4.
中国现代医生2023,Vol.61Issue(34):44-47,4.DOI:10.3969/j.issn.1673-9701.2023.34.012

游离骨间后动脉穿支皮瓣结合肌肉筋膜修复手部复合组织缺损

Free posterior interosseous artery perforator flap combined with muscle fascia for repairing composite tissue defect of hand

李一 1胡浩良 1王晓峰 1俞淼 1周映玲 1陆陈林1

作者信息

  • 1. 宁波市第六医院手外科,浙江宁波 315040
  • 折叠

摘要

Abstract

Objective To investigate the clinical effect of free posterior interosseous artery perforator flap combined with muscle fascia for repairing soft tissue and extensor tendon defect of hand.Methods Fifteen cases of hand skin soft tissue and extensor tendon defect admitted to Ningbo No.6 Hospital from December 2017 to December 2020 were repaired with free posterior interosseous artery perforator flap combined with extensor carpi ulnaris muscle fascia transplantation,and curative effect was observed.Results All flaps survived and patients were followed up for 6-24 months.The texture and thickness of the flap were satisfactory,and the recovery of the finger extension and flexion function were good.The excellent and good rate of hand tendon repair was 66.7%.In three cases with nerve anastomosis,the skin flap sensation recovered to S3.Conclusion The free posterior interosseous artery perforator flap combined with muscle fascia has a good clinical effect in repairing hand skin soft tissue and tendon defect.

关键词

穿支皮瓣/骨间后动脉/手损伤/伸肌腱

Key words

Perforator flap/Posterior interosseous artery/Hand injury/Extensor tendon

分类

医药卫生

引用本文复制引用

李一,胡浩良,王晓峰,俞淼,周映玲,陆陈林..游离骨间后动脉穿支皮瓣结合肌肉筋膜修复手部复合组织缺损[J].中国现代医生,2023,61(34):44-47,4.

中国现代医生

1673-9701

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