《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (07): 845-848.

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股前外侧皮瓣皮神经吻合对手背软组织缺损感觉重建的效果

陈立科，吴波，陈四华，唐畅宇，周先培，徐昱   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-07-25 发布日期:2015-07-25

Effect of Cutaneous Never Anastomosis on Sensory Reconstruction in Free Anterolateral Femoral Flap Repairing Wide Spreadly Dorsal Hand Soft Tissue Defect

CHEN Li-ke, WU Bo, CHEN Si-hua, TANG Chang-yu, ZHOU Xian-pei, XU Yu   

  1. The Second People's Hospital of Hunan Province, Changsha, Hunan 410007, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-07-25 Online:2015-07-25

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被引次数

12

摘要： 目的 探讨股前外侧皮瓣移植修复手背大面积软组织缺损的感觉重建方法及临床效果。方法 对2006年1月~2012年12月采用股前外侧皮瓣移植修复的手背大面积软组织缺损病例进行回顾性分析，其中 2006年 1月~2009年 1月连续收治的 15例为对照组，按传统的方法处理；2009年2月~2012年12月连续收治的15例为研究组，采用股前外侧皮神经与前臂皮神经吻合。所有病例随访1~2年，观察皮瓣的感觉恢复情况。结果 所有病例股前外侧皮瓣全部成活。对照组4例皮瓣感觉恢复优良，研究组为11例。无溃疡发生。结论 带股外侧皮神经的股前外侧皮瓣修复手背大面积软组织缺损，可以明显促进感觉功能恢复。

关键词: 手背, 外伤, 皮瓣, 皮神经吻合, 感觉重建

Abstract: Objective To explore the effect of cutaneous never anastomosis on sensory recovery in repairing wide spreadly soft tissue defects in dorsal hand with free anterolateral femoral flap. Methods The cases with wide spreadly soft tissue defects in dorsal hand repaired with free anterolateral femoral flap from January 2006 to December 2012 were divided into 2 groups. The control group including 15 consecutive patients from January 2006 to January 2009, whose sensation was reconstructed in routine way. Other 15 consecutive patients from Febnary 2009 to December 2012 were as research group, whose sensation was reconstructed with the suture of cutaneous nevers of anterolateral femoral flaps and forearm. All the patients were followed up for 12~24 months. Results All the free flaps survived in both groups. There were 4 cases good of sensory recovery in the control group, and it was 11 in the research group. No ulceration happened. Conclusion Cutaneous never anastomosis may result in satisfactory sensory function in the patients with wide spreadly soft tissue descts in dorsal hand repaired with free anterolateral femoral flap.

Key words: dorsal hand, trauma, flaps, cutaneous never anastomosis, sensory reconstruction