中国美容医学2026，Vol.35Issue(4)：55-58,4.
带蒂逆行骨间后动脉穿支岛状皮瓣修复手部皮肤软组织缺损
Repair of Skin and Soft Tissue Defects in the Hand Using A Pedicle Retrograde Posterior Interosseous Artery Perforator Island Flap
邓如非 1纪如晨 1陈嘉欣 1黄国能 1胡翔天 1姜臻宇 1邹立津 1张友来1
作者信息
- 1. 南昌大学第一附属医院烧伤整形与创面修复医学中心 创烧伤及疼痛江西省重点实验室 江西 南昌 330000
- 折叠
摘要
Abstract
Objective To explore the clinical effect of using a pedicle retrograde interosseous artery perforator island flap to repair skin and soft tissue defects in the hand.Methods From March 2019 to March 2024,the Burn Plastic Surgery and Wound Repair Medical Center of the First Affiliated Hospital of Nanchang University treated 23 patients with hand skin and soft tissue defects repaired using a pedicle retrograde posterior interosseous artery perforator island flap.The area of soft tissue defect is 2.5 cm×3.5 cm-4.5 cm×11.0 cm,and the area of skin flap incision is 3.0 cm×4.0 cm-5.0 cm×12.0 cm.The supply area can be directly sutured,and for those who cannot be sutured directly,thick skin grafts from the head or ipsilateral upper arm can be used for skin grafting.After the operation,observe the survival of the flap and the wound healing in the donor area,and follow up regularly through telephone,WeChat,outpatient service or Internet hospital.Results After operation,3 cases showed slight necrosis at the distal end after surgery,after reoperation,the wound healed,while the remaining 20 cases all survived.All wounds in the supply area healed in stage I.All 23 cases were followed up for 3 to 18 months,with an average of 7.5 months.The donor and recipient areas have healed well,and the shape and texture of the skin flap are good.The two-point discrimination of the skin flap is 10-25 mm,with an average of 17 mm.The wrist function is normal.Conclusion The reverse interosseous artery perforator island flap with pedicle has a high survival rate,good appearance and texture,and good function for repairing skin and soft tissue defects in the hand.It is a good method for repairing skin and soft tissue defects in the hand.关键词
手部/软组织缺损/骨间后动脉穿支皮瓣/带蒂逆行岛状皮瓣/创面修复Key words
hand/soft tissue defect/posterior interosseous artery perforator flap/pedicled reverse island flap/wound repair分类
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邓如非,纪如晨,陈嘉欣,黄国能,胡翔天,姜臻宇,邹立津,张友来..带蒂逆行骨间后动脉穿支岛状皮瓣修复手部皮肤软组织缺损[J].中国美容医学,2026,35(4):55-58,4.
