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目的：总结背阔肌皮瓣修复前臂伴手部大面积软组织缺损临床应用结果。方法：2006年9月至2012年5月，应用背阔肌皮瓣修复前臂伴手部大面积软组织缺损12例。背阔肌皮瓣8例，胸背动脉穿支皮瓣4例。结果：2例术后发生小的受区切口表浅感染，经换药逐渐愈合。背阔肌皮瓣和穿支皮瓣全部成活，术后经过顺利。结论：该皮瓣以胸背动脉穿支为血供，具有血供丰富，血管解剖恒定，血管蒂长，切取的皮瓣面积较大等优点，适宜修复肢体较大面积的软组织缺损。“,”abstract objective:to summarize the rich myocutaneous flap to repair the forearm with hand back large soft tissue defect clinical results.Methods:in Sep-tember 2006 to May 2012,the application of kuo myocutaneous flap to repair the forearm with hand back 12 cases large soft tissue defect.Back broadly myocutaneous flap 8 cases,4 cases of thoracic dorsal artery perforators flap.Results:2 cases of postoperative small area superficial infection of in-cision,the switching gradually healing.Back broadly myocutaneous flap and all survived perforators flap,the postoperative through smoothly.conclusion:The skin flap blood supply by thoracic dorsal artery perforators,is rich of blood supply,constant vascular anatomy and vascular pedicle long,and taking the advanta-ges of larger area of skin flap,appropriate repair body of large -area soft tissue defect.