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find Author "张金明" 4 results
  • 大隐静脉移植加大阴茎海绵体的一期阴茎延长术

    Release date:2016-09-01 09:27 Export PDF Favorites Scan
  • 埋线法结扎周边血管预防扩张皮瓣静脉淤血的疗效观察

    目的总结埋线结扎扩张皮瓣周边血管主干预防皮瓣静脉淤血的疗效。 方法2012年2月-2014年5月,对6例扩张穿支皮瓣通过埋线结扎皮瓣周边蒂部以外静脉主干行静脉延迟。其中男5例,女1例;年龄12~62岁,平均29.7岁。大面积鲜红斑痣及烧伤后挛缩瘢痕各2例,采用扩张颈横动脉胸段皮支皮瓣修复;重度尿道下裂1例,采用扩张侧腹部皮瓣行阴茎再造;足踝及足背部瘢痕挛缩1例,采用扩张逆行胫后动脉穿支交腿皮瓣修复。供区均直接缝合。 结果皮瓣扩张过程顺利,无并发症发生。6例皮瓣均行1次埋线结扎。皮瓣获取术中及术后颜色均无异常改变,未见淤血现象,并全部成活。供区切口Ⅰ期愈合。患者均获随访,随访时间5~24个月,平均10.2个月。皮瓣颜色、外形、质地均较满意。 结论通过埋线结扎周边血管主干阻断静脉回流方法对扩张皮瓣进行静脉延迟,可有效预防术后静脉淤血,提高皮瓣成活率,而且操作简便,创伤小,效果良好。

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  • LENGTHENED PEDICLE OF RECTUS ABDOMINIS FLAP TO REPAIR DEFECT ON NECK AND CHEST

    ObjectiveTo explore the feasibil ity to repair defect on the neck and chest with the rectus abdominis flap which pedicle is lengthened by measuring the width, thickness, and the intercostal space of the inferior costicartilage using CT angiography (CTA). MethodsThirty cases receiving CTA and three-dimensional reconstruction between July and December 2013 were included in the study. Of 30 cases, 17 were male and 13 were female, aged 44-70 years (mean, 56 years). The width and thickness of the 3rd to 7th costicartilages and the distance of the 3rd to 6th intercostal spaces were measured, and the lengthened pedicle was calculated after the 4th to 7th costicartilage was cut off. Between July 2012 and November 2013, the lengthened pedicle of the rectus abdominis flap was cl inically used to repair the defect on the neck and chest in 4 cases. ResultsThe pedicle of the rectus abdominis flap was about 6 cm in length. When the left 7th, 6th, 5th, and 4th costicartilages were cut off, the average pedicle was lengthened by 4.07, 7.99, 12.50, and 17.48 cm respectively; when the right 7th, 6th, 5th, and 4th costicartilages were cut off, the average pedicle was lengthened by 4.63, 10.82, 16.64, and 22.05 cm respectively. In 4 flaps which were cl inically used to repair defects, 3 flap completely survived, 1 flap had partial necrosis. Three patients were followed up 6 months, and the appearance and texture of the flap were satisfactory; 1 patient failed to be followed up. ConclusionResecting the inferior costicartilage can prolong the pedicle of the rectus abdominis flap, therefore it can be used to repair defect on the upper chest and the neck.

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  • 自体脂肪移植在整形与修复重建外科领域应用的指南

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