west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "组织缺损" 273 results
  • 腓肠浅动脉逆行岛状皮瓣修复跟腱及足跟软组织缺损

    Release date: Export PDF Favorites Scan
  • REPAIR OF SOFT TISSUE DEFECT OF HEEL WITH MYOCUTANEOUS FLAP OF FLEXOR DIGITORUM BREVIS

    OBJECTIVE To investigate the repairing method of soft tissue defect of heel, pedicled island myocutaneous flap of flexor digitorum brevis was designed. METHODS From 1984 to 1997, 26 cases with soft tissue defect of heel were adopted in the clinical trial. Among them, the were 18 males, 8 females and the age ranged from 15 to 60 years old. The area of wound ranged from 2.5 cm x 1.5 cm to 8.0 cm x 6.0 cm. RESULTS After operation, all of the flaps survived. They were followed up for 9 to 72 months. All of the flaps had primary healing except in one there was infection of peripheral of the flap. The contour of heel was satisfactory the sensation of flap was good and the weight-bearing function was also successful. CONCLUSION It was concluded that the myocutaneous flap of flexor digitorum brevis could be used to repair the soft tissue defect of heel because of its nearby position, hidden location, good recovery of skin sensation and weight-bearing function, Besides, the procedure of this operation was simple and the anti-inflammatory potential of the flap was high. However, Because of the limited donor area, the pre-operative design was important.

    Release date:2016-09-01 11:04 Export PDF Favorites Scan
  • TREATMENT OF TRAUMATIC SOFT TISSUE DEFECT BY VACUUM SEALING

    OBJECTIVE: To investigate the clinical effect of vacuum sealing in treatment of traumatic soft tissue defect. METHODS: From 1998. 8 to 2001. 2, 49 patients with 55 traumatic soft tissue defects were treated by vacuum sealing after debridement. Among them, there were 39 males and 10 females with mean age 38. 4 years. The wound area varied from 10 cm x 10 cm to 30 cm x 30 cm. In the experimental group, the wound surfaces or cavities were filled with polyvinyl alcohol foams with embedded drainage tubes connected with vacuum bottle (negative pressure of 50-60 kPa). Wound closure was performed with secondary suturing, or skin transplantation, or local flap grafting after 5-7 days. Besides, 126 patients were managed by traditional dressing as the control group. RESULTS: Out of 51 traumatic soft tissue defects (45 patients), the wound closure was performed with a free flap in 4, with local flap in 8, with skin grafting in 27, with secondary suturing in 6, and with vacuum sealing directly in the other 6 defects. Forty-five patients recovered and no complications (systemic and located) occurred. There were significant differences in time of secondary suturing, times of dressing, wound shrink and total therapeutic cost between two groups (P lt; 0.01). CONCLUSION: Vacuum sealing can protect the wound against contamination, evacuate the wound exudates completely, stimulate the growth of granulation tissue, and facilitate the wound healing; so vacuum sealing is a simple and effective method in treatment of traumatic soft tissue defect.

    Release date:2016-09-01 10:15 Export PDF Favorites Scan
  • 皮瓣在四肢皮肤软组织缺损修复中的应用

    摘要:目的: 探讨应用皮瓣移植修复四肢皮肤缺损的临床效果。 方法 :回顾性分析本院2001年以来收治的39例因各种原因所致四肢皮肤缺损患者采用皮瓣移植修复的临床效果。根据皮肤缺损部位不同,分别对其采用不同皮瓣进行移植修复。其中皮瓣移植修复方法包括腹部超薄皮瓣修复16例,前臂筋膜皮瓣及超薄皮瓣修复各2例,锁骨下区皮瓣修复4例,示指近节背侧皮瓣修复2例,小腿内侧逆行岛状皮瓣修复1例,膝上及小腿筋膜皮瓣修复6例,足背皮瓣修复4例,足底内侧及小腿交腿皮瓣修复各1例。超薄皮瓣7~10 d断蒂,其他皮瓣3周断蒂。 结果 :39例应用皮瓣进行移植修复四肢皮肤缺损患者中,36例皮瓣成活;2例筋膜皮瓣下积血,致皮瓣部分坏死,行植皮后痊愈;1例皮瓣远端边缘血运障碍坏死,经换药后愈合。对其中26例随访5个月至3年显示,2例皮瓣稍显臃肿,其余病例修复部位功能及外形恢复满意。 结论 :根据四肢皮肤软组织缺损的不同,选择恰当的皮瓣修复,修复部位可获得功能和外形恢复良好的效果。

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • 内踝上皮支皮瓣修复足踝部皮肤软组织缺损

    Release date:2016-09-01 09:26 Export PDF Favorites Scan
  • 第二掌骨背侧岛状皮瓣修复拇指掌侧及虎口区皮肤软组织缺损

    目的 总结采用第2 掌骨背侧岛状皮瓣修复拇指掌侧及虎口区皮肤软组织缺损的方法及疗效。 方法 2006 年5 月- 2008 年5 月,采用第2 掌骨背侧岛状皮瓣修复拇指掌侧及虎口区皮肤软组织缺损19 例。男12 例,女7 例;年龄15 ~ 42 岁,平均27 岁。机器压砸伤18 例,虎口区组织挛缩1 例。压砸伤患者中,拇指末节缺损11 例,拇指近节缺损5 例;虎口区皮肤缺损2 例;皮肤软组织缺损范围为2.2 cm 1.0 cm ~ 3.8 cm 2.4 cm。压砸伤患者均为受伤后3 h 内手术,虎口区组织挛缩患者为伤后6 个月手术。术中皮瓣切取范围为2.8 cm 1.2 cm ~ 4.0 cm 2.6 cm,供区采用中厚皮片游离植皮修复。 结果 术后皮瓣及供区皮片均顺利成活,创面Ⅰ期愈合。术后患者均获随访,随访时间6 ~ 24 个月。拇指外形饱满,感觉恢复至S2+;屈伸、外展、对掌、对指功能良好。虎口张开度为80 ~ 85°。 结论 第2 掌骨背侧岛状皮瓣修复拇指掌侧及虎口区皮肤软组织缺损具有手术操作简便、皮瓣质量好、术后皮瓣成活率高等优点,可获得较好疗效。

    Release date:2016-09-01 09:04 Export PDF Favorites Scan
  • STUDY OF THE USE OF PEDICLED TRAPEZIUS MYOCUTANEOUS FLAP /〖WT〗

    In order to observe the morphological feature and blood supply of the pedicled trapezius myocutaneous flap, dissection was carried out on 114 sides of 54 cadavers. It was demostrated that trapezius muscle had multiple sources for its blood supply, including (1) dorsal scapular artery; (2)transvers cervical artery; (3) occipital artery and (4)spinal perforating artery. The dorsal scapular artery may originate from the same stem with the transvers cervical artery (68.4%), or originate seperatly (31.6%). Thirteen patients had radical resection for malignant tumour of head and neck, and were combined with pedicled trapezius myocutaneous flap, in which 6 with upper trapezius myocutaneous flap and 7 with lower trapezius myocutaneous flap. The results were fairly good. the advantages and disadvantages of the lower and upper trapezius myocutaneous flaps as well as the pectorlis major myocutaneous flap were discussed.

    Release date:2016-09-01 11:10 Export PDF Favorites Scan
  • 食指背动脉逆行岛状皮瓣修复食指桡侧软组织缺损

    Release date:2016-09-01 09:29 Export PDF Favorites Scan
  • THE REVERSED FIRST DORSAL METATARSAL ARTERY ISLAND FLAP IN RESURFACING THE DEFECTS AT DISTAL FOOT

    It was a difficult clinical problem to repair the defects of the distal part of the foot. Since 1987, We had used the reversed first dorsal metatarsal artery island flap in 4 cases, the results were satisfactory. The surgical anatomy, design and harvest of the flap were introduced, and it s blood supply and circulation, indication and main advantages were also discussed.

    Release date:2016-09-01 11:40 Export PDF Favorites Scan
  • MICROSURGICAL REPAIR OF DEFECTS OF SOFT TISSUE AND INFECTED WOUNDS OF EXTREMITIES

    A study was carried out to observe the application of microsurgical technique in the repair defects of soft tissue and infected wounds of extremities. Eighty-three patients with soft tissue defects and infected wounds of extremities were treated by either transferring of vascularized cutaneous flap or transplantation of myocutaneous flap with vascular anastomosis. The result showed that eighty-three patients had gained success after a follow-up of 6 months to 4 years. It was concluded that soft tissue defects and infected wounds of extremities should be repaired as early as possible. Selecting the donor flap near the recipient site was of first choice. The method used for repair should be simple and easily applicable rather these very complicated one. The success depended on the correct treatment of local conditions, resonable design of donor flap and close monitoring after operation.

    Release date:2016-09-01 11:07 Export PDF Favorites Scan
28 pages Previous 1 2 3 ... 28 Next

Format

Content