张功林 葛宝丰 王世勇 曾述强 张军华 730050 兰州军区总医院脊柱外科 中华手外科杂志 1999 0 15 2


    关键词：组织移植；阔筋膜；软组织损伤；指 期刊 zhswkzz 0 论著 fur -->


    

【摘要】 目的 介绍应用吻合血管的阔筋膜瓣联合游离皮片移植修复手指软组织缺损的经验。方法 临床应用5例9指。 阔筋膜瓣的面积最大为6 cm × 9cm，最小为2.5 cm × 7.0 cm 。 结果 移植的阔筋膜瓣全部成活，植于其上的中厚皮片除2例有小块坏死外，其余也全部成活。术后随访1 ～ 4年，除1指的近节指间关节、1指的掌指关节屈曲受限外，其余手指伸屈活动正常，效果满意。结论 该筋膜瓣以旋股外侧动脉降支为供血来源，血管解剖恒定，血管蒂长，切取容易。移植后的筋膜皮瓣较薄，适于修复手指软组织缺损。

Repair of softtissue defect of the fingers with vascularized fascia lata transplantation combining withfree skin graft

ZHANG Gonglin, GE Baofen, WANG Shiyong, et al. Department of Spinal Surgery, Lanzhou GeneralHospital of CPLA, Lanzhou 730050

【Abstract】 Objective To introduce the treatment of soft tissue defect of the fingers byvascularized fascia lata transplantation combining with free skin graft. Methods Soft tissue loss of 9fingers in 5 cases were repaired with this procedure. The largest size of fascia lataharvested was 6 cm × 9 cm, while the smallest was 2.5 cm × 7 cm . All patients werefollowed up for 1 to 4 years. Results The transplanted fascia lata survived in all cases. Exceptfor the minor necrosis in 2 cases, the split thickness skin graft survived completely.There was impairment of flexion in the proximal interphalangeal joint of one finger and inthe metacarpophalangeal joint of another finger. Movement of the remaining seven fingerswas normal. The overall treatment outcome was satisfactory. Conclusions The fascia lata fascialflap is nourished by the descending branch of the lateral circumflex femoral artery. Itcan be easily harvested because of the constant vascular anatomy and the long vascularpedicle. Besides, the flap is thin and is therefore suitable for coverage of soft tissueloss of the fingers.

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