中节掌侧软组织缺论文范文

缺点:(1)前臂中上段骨间后血管与神经伴行密切,操作不当易导致神经损伤,严重者导致伸指功能障碍[8];(2)切取携带前臂皮神经的感觉皮瓣较为困难,笔者对于修复手指掌侧软组织缺损不提倡

末节指腹缺损18例,近中节指掌侧皮肤软组织缺损4例,末节远指间关节背侧皮肤缺损3例,其中合并伸肌腱止点缺损3例,合并指固有神经缺损4例。清创后皮肤缺损面积在1.4 cm ×2.5 cm ～1.8

动脉穿支皮瓣修复7例小指近、中节掌背侧软组织缺损创面,创面面积1.6 cm×2.5 cm～2.3cm×5.6 cm,皮瓣设计面积为2.0 cm×3.0 cm～2.5 cm×6.0 cm。 采用中华

传统带掌背动脉逆行岛状皮瓣以手背主干动脉为蒂，易造成指伸肌腱或腱联合的破坏，术后易导致肌腱粘连，伸指功能活动受限。 006年至01年，我科采用含掌背动

方法 按损伤程度选择踇甲瓣、拇指指背动脉皮瓣、腹部带蒂皮瓣、V-Y 推进皮瓣 I 期手 术治疗手指末节皮肤软组织缺损共 32 例,其中切割伤 15 例,碾压伤 17 例.缺损部位: 甲床毁

拇指末节掌侧小于1cm的软组织缺损,可以通过换药或V-Y推进皮瓣来进行修复,大于1cm的软组织缺损,一般需要使用皮瓣进行修复。在选择何种皮瓣进行修复时,需要考虑拇指末节的如下","subtitleWithAvatar":[{"text":"潘振宇 主任医师 武汉大学中南医院 三甲 发布时间: 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1.逆行指背神经营养血管筋膜蒂皮瓣修复手指中、末节掌侧皮肤缺损2.腕掌侧桡动脉掌浅支游离皮瓣修复手指皮肤缺损并桥接手指动脉3.腕掌侧桡动脉掌浅支游离皮瓣修复手指皮肤缺损

第16卷第18期008年9月中国矫形外科杂志OrthopedicJourn~ofChinaVo1．16．No．18Sep．008掌背动脉背侧皮支皮瓣修复手指软

手外伤后,应尽可能一期闭合创口,张力过大或有皮肤缺损,而基底部软组织良好或深部重要组织能用周围软组织覆盖者,可采用自体游离皮肤移植修复。本例手外伤致食指末节掌侧约lcm

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