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find Keyword "隐神经营养血管" 4 results
  • 改良第一趾蹼皮瓣游离移植术后供区创面的修复

    目的总结应用穿支血管蒂足内侧隐神经营养血管皮瓣修复改良第1趾蹼皮瓣游离移植后供区创面的疗效。 方法2009年5月-2012年8月,对9例手部皮肤缺损患者应用改良第1趾蹼皮瓣游离移植修复后,供区遗留3.8 cm × 3.3 cm~5.2 cm × 3.6 cm大小创面,均不能通过直接缝合或植皮修复。男7例,女2例;年龄28~56岁,平均36.2岁。创面合并第1、2趾趾伸肌腱或第1、2趾跖骨外露。手部皮肤缺损修复后一期采用大小为4.2 cm × 3.6 cm~6.0 cm × 4.0 cm的穿支血管蒂足内侧隐神经营养血管皮瓣移位修复供区创面。 结果术后9例皮瓣均顺利成活,创面Ⅰ期愈合。患者均获随访,随访时间6~13个月,平均7个月。皮瓣颜色、质地与受区周围皮肤相似。第1趾蹼夹持、伸展等功能恢复良好。术后6个月,皮瓣静态两点辨别觉达4~9 mm,平均4.8 mm;皮瓣感觉功能恢复至S3 3例,S3+ 4例,S4 2例。 结论应用穿支血管蒂足内侧隐神经营养血管皮瓣修复改良第1趾蹼皮瓣移植后供区创面可获满意疗效。

    Release date:2016-08-31 04:05 Export PDF Favorites Scan
  • (足母)趾底内侧动脉皮穿支血管蒂隐神经营养血管逆行皮瓣修复前足皮肤缺损

    目的 探讨(足母)趾底内侧动脉皮穿支血管蒂隐神经营养血管逆行皮瓣修复前足皮肤缺损的疗效。 方 法 2007 年2 月- 2010 年3 月,收治前足皮肤缺损患者16 例。男11 例,女5 例;年龄22 ~ 53 岁,平均37.5岁。致伤原因:交通事故伤4 例,压榨伤12 例。缺损部位:(足母)趾5 例,前足跖侧8 例、背侧3 例。新鲜创面12 例,陈旧创面4 例。创面范围为5.0 cm × 3.5 cm ~ 10.0 cm × 6.0 cm。术中切取大小为8 cm × 6 cm ~ 12 cm × 7 cm、以(足母)趾底内侧动脉皮穿支为血管蒂的隐神经营养血管逆行皮瓣修复缺损。供区游离植皮修复。 结果 术后6 d 1 例皮瓣出现远端浅表坏死,经换药1 周后愈合;其余皮瓣及供区植皮均顺利成活,创面Ⅰ期愈合。患者术后均获随访,随访时间7 ~ 18 个月,平均8 个月。皮瓣外观、质地良好;感觉功能恢复至S1 1 例,S2 3 例,S3 12 例;两点辨别觉2 ~ 4 mm,平均2.6 mm。足趾及踝关节活动范围正常。 结论 (足母)趾底内侧动脉皮穿支蒂隐神经营养血管逆行皮瓣为多源性供血,手术切取简便、安全,术后外形良好,可恢复受区感觉,是修复前足皮肤缺损的有效方法之一。

    Release date:2016-08-31 05:42 Export PDF Favorites Scan
  • 胫后动脉穿支蒂隐神经营养血管皮瓣的临床应用

    【摘要】 目的 探讨应用胫后动脉穿支为蒂的隐神经营养血管皮瓣逆行转位修复小腿远1/3内侧软组织缺损的手术方法临床效果。 方法 2003年8月-2009年8月对48例小腿远1/3内侧软组织缺损患者,在小腿内侧区沿大隐静脉设计以胫后动脉穿支为蒂隐神经营养血管皮瓣,切取面积5 cm×8 cm~15 cm×20 cm。 结果 术后3例皮瓣远端静脉回流不畅出现10%~20%坏死,经换药后痊愈,其余45例皮瓣一期完全成活,供区一期愈合,全部患者获得6~72个月随访,所有患者皮瓣外形及功能满意。 结论 以胫后动脉穿支为蒂隐神经营养血管皮瓣逆行转位修复小腿远1/3内侧软组织缺损具有不损伤主要血管、血供可靠、皮瓣切取范围大、隐蔽等优点,临床效果满意。

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • TREATMENT OF LEG, FOOT, AND ANKLE WOUNDS WITH SAPHENOUS NEUROCUTANEOUS VASCULAR FLAPS COMBINED WITH ASSEMBLY EXTERNAL FRISKET FOR FIXATION IN PARALLEL-LEG POSITION

    ObjectiveTo explore the effectiveness of a new method to repair severe soft tissue defects of the leg, foot, and ankle with contralateral saphenous neurocutaneous vascular flaps combined with assembly external frisket for fixation in parallel-leg position. MethodsBetween August 2009 and August 2013, 29 cases with leg, foot, or ankle wound were treated. There were 18 males and 11 females, with an average age of 37.6 years (range, 11-65 years). The interval of injury and operation was 14-36 days (mean, 22.3 days). The locations were the planta pedis and heel in 5 cases, the dorsal foot in 2 cases, the ankle in 4 cases, middle and lower leg in 14 cases, and upper leg in 4 cases. The area of trauma ranged from 5 cm×3 cm to 19 cm×9 cm. The assembly external frisket was used for fixation in parallel-leg position; a bridge flap was transplanted to repair defects, and the area of flap ranged from 6 cm×4 cm to 22 cm×11 cm. The donor sites were directly sutured or repaired with skin graft. The pedicle of the bridge flap was cut off and the assembly external frisket was removed after 3-4 weeks. ResultsThe flaps in all patients survived completely; primary healing of wound and incision at donor site was obtained. The patients were followed up 6-18 months (mean, 13.2 months). The appearance of flaps was satisfactory, and the sensation of the heel recovered. Moreover, the patients had a comfortable feeling, and the ankle and knee joints can move freely, and had good function. ConclusionThe assembly external frisket in parallel-leg position instead of cross-leg can make patients comfortable position, and achieve reliable fixation. The saphenous neurocutaneous vascular flap has the advantages of no need for anastomosis vein and for sacrifice of the main vein. Contralateral saphenous neurocutaneous vascular flap combined with assembly external frisket for fixation in parallel-leg position is a favorite method to repair severe soft tissue defects of the leg, foot, and ankle.

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