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-  2017 

游离带感觉超薄股前外侧穿支皮瓣修复鰒甲瓣供区创面的疗效观察

DOI: doi:10.7507/1002-1892.201703122

Keywords: 股前外侧穿支皮瓣, 超薄皮瓣, ?甲瓣, 供区, 创面修复

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Abstract:

目的 探讨制备游离带感觉超薄股前外侧穿支皮瓣修复?甲瓣供区的可行性及临床疗效。 方法 2011 年 5 月—2013 年 12 月,以游离带感觉超薄股前外侧穿支皮瓣修复 9 例拇指缺损患者的?甲瓣供区。男 8 例,女 1 例;年龄 19~42 岁,平均 31.2 岁。伤后至入院时间为 3~12 h,平均 6.5 h。致伤原因:机器碾压伤 4 例,交通事故伤 3 例,绞伤 2 例。采用?甲瓣游离移植重建拇指后,遗留供区软组织缺损范围为 3 cm×2 cm~8 cm×5 cm。携带股外侧皮神经分支制备带感觉股前外侧穿支皮瓣,游离移植修复供区创面;皮瓣切取范围为 3.0 cm×2.0 cm~8.5 cm×5.0 cm。皮瓣修薄前厚度为 2.0~4.5 cm,平均 3.2 cm;皮瓣修薄后厚度为 0.4~0.6 cm,平均 0.5 cm。所有股前外侧皮瓣供区直接闭合。 结果 术后所有再造拇指和皮瓣均成活。随访时间 6~30 个月,平均 15.8 个月。皮瓣质地和色泽与周围皮肤接近,外形不臃肿,两点辨别觉为 8~15 mm,平均 10.5 mm。患者大腿功能未见明显影响。 结论 游离带感觉超薄股前外侧穿支皮瓣质地薄且易塑形,适用于修复?甲瓣供区缺损

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