目的 研究骨间背动脉穿支皮瓣移植修复在手部皮肤缺损患者中的应用效果.方法 选取我院36例手部皮肤缺损患者作为研究对象,均给予骨间背动脉穿支皮瓣移植修复,分析皮瓣成活情况、术后并发症发生情况,并于术后随访3～6个月,分析再次手术整形情况.结果(1)皮瓣成活情况:36例患者皮瓣成活率为100.00％;(2)并发症:术后并发症发生率为11.11％(4/36);(3)再次手术整形情况:术后随访3～6个月,36例患者无再次手术整形发生,发生率为0.00％.结论手部皮肤缺损患者应用骨间背动脉穿支皮瓣移植修复,可有效保障皮瓣成活,且术后并发症发生率低,还可避免或减少再次手术整形,值得临床推广.%Objective To study the effect of interosseous artery perforator flap transplantation in the treatment of hand skin defect patients. Methods Thirty-six patients with hand skin defect in our hospital were enrolled in this study. All patients were treated with percutaneous trans-arterial perforator flap transplantation. The survival of the flap and the postoperative complications were analyzed.The patients were followed up for 3-6. Month, analysis of reoperation and plastic surgery. Results (1) flap survival: 36 patients had a flap survival rate of 100.00％; (2) complications: postoperative complication rate was 11.11％ (4/36); (3) reoperation and plastic surgery:After 3 to 6 months of follow-up, 36 patients had no reoperation and the incidence was 0.00％. Conclusion Patients with hand skin defect repaired with interosseous artery perforator flap can effectively guarantee the survival of flaps, and the incidence of postoperative complications is low. It can also avoid or reduce reoperation and plastic surgery, which is worthy of clinical promotion.
展开▼
