《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (8): 751-753.

• 论文 • 上一篇    下一篇

带髂胫束股前外侧皮瓣游离移植修复手背组织缺损

陈立科，陈四华，吴波，唐畅宇，周先培   

  1. 湖南省第二人民医院手足外科，湖南长沙市 410007。
  • 收稿日期:2011-05-23 修回日期:1900-01-01 出版日期:2011-08-25 发布日期:2011-08-25

Repair of Tissue Defects of Tendon and Skin of Back of Hand by Femoral Anterolateral Free Flap with Iliotibial Tract

CHEN Li-ke,CHEN Si-hua, WU Bo, et al.   

  1. The Department of Hand and Foot, the Second Hospital of Hunan Province, Changsha 410007, Hunan, China
  • Received:2011-05-23 Revised:1900-01-01 Published:2011-08-25 Online:2011-08-25

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摘要： 目的评定带髂胫束的股前外侧皮瓣游离移植修复手背组织缺损的疗效。方法回顾2006 年6 月~2010 年6 月，用带髂胫束的股前外侧皮瓣游离移植修复伸指肌腱并发手背区皮肤缺损12 例，皮瓣切取范围7 cm´10 cm~8 cm´12 cm。髂胫束的切取长度7~13 cm，宽度8~10 cm。按中华医学会手外科学会上肢功能评定标准评定疗效。随访6 个月~4 年。结果后所有皮瓣均成活。优3 例，良6 例，可3 例。结论带髂胫束的股前外侧皮瓣游离移植是一种有效修复合伸指肌腱并手背区皮肤缺损的手术方法。

关键词: 髂胫束, 股前外侧皮瓣, 肌腱缺损, 皮肤缺损

Abstract: Objective To observe the clinical outcome of repair of the tissue defects of the tendon and skin with thigh anterolateral free flap with iliotibial tract. Methods The data was reviewed from June 2006 to June 2010, which the thigh anterolateral free flap with iliotibial tract were used to repair the defects of the tendon and skin of back of hand in 12 patients. The skin flap was 7 cm´10 cm~8 cm´12 cm in area. The iliotibial tract was 7~13 cm in length and 8~10 cm in width. Institute of Hand Surgery of Chinese Medical Association was to assess the effect. The fellow-up of the 12 patients was 6 months~4 years. Results All the flaps survived after the operation. The result showed excellent in 3 patients, good in 6 and fair in 3. Conclusion It is an effective surgical method to repair the tissue defects of the tendon and skin with thigh anterolateral free flap with iliotibial tract.

Key words: iliotibial tract, femoral anterolateral flap, tendon defect, skin defect