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胸背动脉穿支带蒂皮瓣修复同侧上肢软组织缺损
Hits: 2165   Download times: 1493   Received:February 18, 2008    
作者Author单位UnitE-Mail
张功林 ZHANG Gong-lin 兰州军区总医院骨科研究所, 甘肃 兰州 730050 Institute of Orthopaedics,Lanzhou General Hospital of PLA,Lanzhou 730050,Gansu,China  
葛宝丰 GE Bao-feng 兰州军区总医院骨科研究所, 甘肃 兰州 730050 Institute of Orthopaedics,Lanzhou General Hospital of PLA,Lanzhou 730050,Gansu,China  
王锦华 WANG Jin-hua 定西市人民医院骨科  
吴发林 WU Fa-lin 大丰市同仁医院骨科  
王干生 WANG Gan-sheng 大丰市同仁医院骨科  
期刊信息:《中国骨伤》2009年22卷,第7期,第530-532页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:总结胸背动脉穿支带蒂皮瓣修复同侧上肢软组织缺损的临床应用结果。

方法:自2003年9月至2007年5月,用胸背动脉穿支带蒂皮瓣修复同侧上肢软组织缺损8例。其中男6例,女2例;年龄16~45岁,平均32岁;上臂5例,前臂3例。

结果:1例术后发生小的受区切口表浅感染,经换药逐渐愈合,穿支皮瓣全部成活。随访9~38个月(平均19个月),受区外形满意,无明显供区功能障碍。

结论:胸背动脉穿支带蒂皮瓣较薄,适宜修复同侧上肢软组织缺损。
[关键词]:外科皮瓣  移植,自体  软组织损伤
 
Thoracodorsal artery perforator pedicled flap for repair of soft tissue defects on the ipsilateral upper limb:a report of 8 cases
Abstract:

Objective: To summarize clinical application result of the thoracodorsal artery perforator pedicled flap for repair of soft tissue defects on the ipsilateral upper limb.

Methods: From September 2003 to May 2007,8 patients(6 males and 2 females) with soft tissue defects on the ipsilateral upper limb underwent reconstruction with the thoracodorsal artery perforator pedicled flap. The age of patients was from 16 to 45 years old with an average of 32 years. Of them,the recipient sites of 5 cases were located on the arm region,3 cases on the forearm.

Results: The minor superficial infection of 1 case occurred on the recipient site after operation and the wound gradually healed by daily change dressings. All the flaps had survived completely and the postoperative course was uneventful with satisfactory clinical results. Follow-up period ranged for 9-38 months after operation(mean,19 months). There was no remarkable donor site morbidity. All cases had good appearance on recipient site.

Conclusion: The thoracodorsal artery perforator pedicled flap is thin and suitable for repair of soft tissue defect on the ipsilateral upper limb.
KEYWORDS:Surgical flaps  Transplantantation,autologous  Soft tissue injuries
 
引用本文,请按以下格式著录参考文献:
中文格式:张功林,葛宝丰,王锦华,吴发林,王干生.胸背动脉穿支带蒂皮瓣修复同侧上肢软组织缺损[J].中国骨伤,2009,22(7):530~532
英文格式:ZHANG Gong-lin,GE Bao-feng,WANG Jin-hua,WU Fa-lin,WANG Gan-sheng.Thoracodorsal artery perforator pedicled flap for repair of soft tissue defects on the ipsilateral upper limb:a report of 8 cases[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(7):530~532
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