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find Author "牛常英" 4 results
  • 吻合血管腓骨皮瓣移植修复第一跖骨复合组织缺损

    目的总结以腓动脉为蒂的腓骨嵌合皮瓣移植修复第1跖骨复合组织缺损的疗效及其临床应用意义。 方法2010年5月-2014年4月,采用游离以腓动脉为蒂的腓骨嵌合皮瓣移植修复第1跖骨复合组织缺损8例。男6例,女2例;年龄34~47岁,平均38岁。致伤原因:交通事故伤4例,重物砸伤2例,骨肿瘤1例,骨髓炎1例。跖骨缺损范围4.2~7.3 cm,软组织缺损范围5 cm×3 cm~10 cm×5 cm;腓骨切取范围5~9 cm,皮瓣切取范围6 cm×4 cm~9 cm×6 cm。供区拉拢缝合3例,植皮修复5例。 结果术后皮瓣全部成活,受区及供区切口均Ⅰ期愈合。8例患者均获随访,随访时间5~18个月,平均11.5个月。皮瓣外形良好,质地耐磨;皮瓣两点辨别觉为3~5 mm。供区踝关节功能活动及稳定性良好。X线片及CT示术后3~6个月获骨性愈合;移植腓骨皮质逐渐增厚,直径增粗,9~18个月(平均13个月)后接近健侧第1跖骨直径。末次随访时根据Maryland足功能评定标准,优6例,良2例。 结论采用以腓动脉为蒂的腓骨嵌合皮瓣移植修复第1跖骨复合组织缺损,具有操作简便、恢复快等优点,是重建足部负重区及周围软组织缺损的有效方法。

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  • EFFECTIVENESS OF MODIFIED Park METHOD OF BLEPHAROPLASTY FOR CORRECTION OF MILD BLEPHAROPTOSIS

    ObjectiveTo explore the effectiveness of the modified Park method of blepharoplasty for correction of mild blepharoptosis. MethodsBetween October 2012 and January 2015, a new modified Park method of blepharoplasty was performed on 23 patients with foldless eyelid combined mild blepharoptosis. There were 14 males and 9 females, aged 16 to 35 years (mean, 25 years). Unilateral eyelid was involved in 16 cases, bilateral eyelids in 7 cases. The upper eyelid was located at the edge of the pupil, and the drop was 1-2 mm (mean, 1.5 mm). ResultsAll incisions healed at the first stage; no obvious blood stasis and swelling occurred. The patients were followed up 4 to 26 months, with an average of 15 months. The double eyelid fold was natural and smooth, and ptosis was completely corrected; the eyelid shape and position were symmetry when in situ fixation and movement. According to "double eyelid operation effect evaluation standard discussion" method by Chinese Medical Cosmetology Association, the results were excellent in all patients. ConclusionThe modified Park method of blepharoplasty can achieve blepharoplasty and correcting blepharoptosis at the same time for correction of foldless eyelid combined mild blepharoptosis during operation without separated and amputated levator aponeurosis, with small surgical trauma, good controllability, and maneuverability in correction amplitude.

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  • EFFECTIVENESS OF V-Y ADVANCED RETROAURICULAR FLAP FOR REPAIRING MILD AND MODERATE EARLOBE DEFECTS

    ObjectiveTo investigate the effectiveness of the V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect. MethodsBetween September 2014 and July 2015, V-Y advanced retroauricular flap was used to repair earlobe defect in 6 patients. There were 1 male and 5 females, aged 18 to 30 years (mean, 23 years). The left earlobe was involved in 2 cases and the right earlobe in 4 cases, including 2 cases of congenital earlobe defect and 4 cases of secondary earlobe defect; 1 patient had congenital deformity of upper auricle. According to self-made criteria for earlobe defect, 5 cases were rated as mild defect and 1 case as moderate defect. ResultsAll incisions healed at the first stage, and the flaps survived smoothly. The patients were followed up 3 to 12 months, with an average of 9 months. The reconstructed earlobes had natural size and shape, and smooth curve; the texture and color were close to the adjacent skin. The effectiveness was satisfactory. ConclusionThe V-Y advanced retroauricular flap for repairing mild and moderate earlobe defect can achieve natural earlobe and aesthetic plastic effectiveness, so it is a safe and ideal earlobe reconstruction method.

    Release date:2016-11-14 11:23 Export PDF Favorites Scan
  • 改良 Z 形切口法矫正内眦赘皮的疗效观察

    目的总结采用改良 Z 形切口法矫正内眦赘皮的疗效。方法2013 年 9 月—2015 年 3 月,采用改良 Z 形切口法对 93 例内眦赘皮患者行内眦赘皮矫正术。女 80 例,男 13 例;年龄 16~40 岁,平均 30 岁。轻度内眦赘皮 35 例,中度 54 例,重度 4 例。64 例伴单睑,29 例伴不明显重睑。85 例同期行重睑术,8 例不明显重睑者单纯行内眦赘皮矫正术。结果术后患者切口均 Ⅰ 期愈合。患者均获随访,随访时间 6~12 个月,平均 9 个月。患者上睑无明显瘢痕;内眦部外观平整,泪阜显露适中,睑裂变长;内眦角与重睑线衔接流畅。患者均对效果满意。结论改良 Z 形切口法矫正内眦赘皮设计简单、操作方便,切口隐蔽、瘢痕不明显、内眦形态自然,能达到功能与形态完美结合的目的。

    Release date:2017-09-07 10:34 Export PDF Favorites Scan
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