| 摘要: |
| ［摘要］ 目的 观察采用前臂外侧皮神经营养逆行岛状皮瓣修复手掌部软组织缺损的疗效。方法 对2001-06～2009-01 22例手掌部软组织缺损患者经急诊清创后换药至创面条件好转后采用前臂外侧皮神经营养皮瓣逆行移植修复创面，供区游离植皮。结果 术后皮瓣及供区均成活，随访7～24个月，手部色泽正常，恢复保护性感觉。结论 前臂外侧皮神经营养逆行皮瓣方法简单，效果可靠，不损伤前臂主要动脉，能恢复手掌部保护性感觉，是修复手部创面的理想方法。 |
| 关键词: 手掌部软组织缺损 前臂外侧皮神经营养皮瓣 逆行转移 |
| DOI：10.3969/j.issn.1674-3806.2010.09.37 |
| 分类号:R 687.2 |
| 基金项目: |
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| Repairing hand soft tissue defects by cutaneous antebrachii lateralis nerve supplying skin flap: Reports of 22 cases |
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YUAN Wei-qing
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Department of Orthopaedics,Nanning Red Cross Hospital,Guangxi 530012,China
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| Abstract: |
| ［Abstract］ Objective To observe the curative effect of repairing hand soft tissue defects by cutaneous antebrachii lateralis nerve supplying retrograde island shape skin flap.Methods During June 2006 to January 2009,22 patients（16～52 years,16 male and 6 female）were operated to repair hand soft tissue defects,including 9 cases with machine twisting injury,7 cases with traffic accident injury,4 cases with thermal burn,2 cases with electric burn. Wound surfaces were debrided by emergency operation and changed dressings till the conditions improved,then cutaneous antebrachii lateralis nerve supplying retrograde skin flap were used for repairing the wound.The supplying skin regions were cover by free skin graft.Results Skin flaps and supplying skin regions all survived after operation.Follow-up of 7～24 months showed,hand color was nomal,and the protective sensation resumed.Conclusion Retrogradely transplanting cutaneous antebrachii lateralis nerve supplying skin flap is an ideal method for repairing hand soft tissue defect, and has reliable effect.The operation do not damage the main artery of forearm,also could resume the protective sensation. |
| Key words: Hand soft tissue defect Cutaneous antebrachii lateralis nerve supplying skin flap Retrograde transplantation |
