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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

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  • 硅胶带修复四肢皮肤软组织缺损16例

    Release date:2016-09-01 09:30 Export PDF Favorites Scan
  • DIFFERENT TYPES OF TISSUE TRANSPLANTATION IN REPAIRING TISSUE DEFECTS AND FUNCTIONRECONSTRUCTION

    Objective To explore the clinical effect of different types of free tissue transplantation on repairing tissue defects and reconstructing functions. Methods From November 2001 to September 2004, 14 types of freetissue transplantation and 78 free tissue flaps were applied to repairing tissue defects and reconstructing functions in extremities and maxillofacial region in 69 cases. Of the 69 cases, there were 53 males and 16 females (their ages ranged from 18 to 56, 31 on average). Five cases were repaired because of skin defects in foot, 22 cases were repaired because of skin defects in leg, 36 cases were repaired as the result of skin defects in hand or forearm and finger reconstruction, 3 cases were restored by virtue of ulna or radius defects, and 3 cases were repaired in maxillofacial region. There were 55 cases of open wound, in which 16 cases were infectious wound, 6 cases were osteomyelitis or pyogenic arthritis. There were 14 cases of noninfectious wound. The area of these tissue flaps ranged from 2.0 cm×1.5 cm to 43.0 cm×12.0 cm. The length of bone transplantation ranged from 10 cm to 15 cm. Results Arterial crisis occurred in 2 cases, venous crisis occurred in 2 cases.Seventysix flaps survived completely and 2 flaps survived partially which werelater healed. Fiftytwo cases were healed at stageⅠ, 13 cases were healed at stageⅡ(healing time ranged from 20 to 30 days), purulent infection occurred to 4cases(healing time ranged from 3 to 11 months). Bone healing time ranged from 6 to 8 weeks in finger reconstruction. Bone healing time ranged from 4 to 6 months in fibula transplantation. The function reconstruction and appearance were satisfying. The functions of all regions, where free tissues were supplied, were not disturbed. Conclusion Tissue transplantation and composite tissue transplantation are effective in repairing tissue defects and reconstructing functions.

    Release date:2016-09-01 09:24 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
  • APPLICATION OF PARASEAPULAR FREE FLAP IN THE FACIO-MAXILLO-NECK REGION

    Eight cases of tissue defect inthe faciomaxillo-neck region weretreated by application of the vascu-larized paraseapular free flap Themain causes of the tissue defects werepostresection of tumor in the faceor neck and cicatrical contractureafter burn. The method of flapdesign was discussed. It was stress-ed that the incision of the flap onthe outer margin should be 2 cmbeyond the lateral border of thescapula, thus the damage to thesuperficial branch of the circumfl-ex seapular artery could be avoided.

    Release date:2016-09-01 11:41 Export PDF Favorites Scan
  • 皮瓣肌皮瓣在修复软组织缺损中的应用

    从1981年3月以来,采用皮瓣、肌皮瓣修复组织缺损及重建功能106例,116块组织瓣、成活101例,完全失败3例,部分坏死2例。经过随访,供区均无明显功能障碍,但在接受游离植皮区,均有程度不同的色素沉着,21例有不同程度的瘢痕增生。

    Release date:2016-09-01 11:40 Export PDF Favorites Scan
  • GROIN SKIN AND ILIAC BONE COMPOSITE GRAFT WITH VASCULAR PEDICLE IN THE REPAIR OF SEVERE DEEP BURN AND BONE DEFECT OF HAND AND WRIST

    Abstract From March, 1987 through May, 1996, a total of 13 cases of severe deep burn and bone defect of hand and wrist were treated by groin skin and iliac bone composite graft with vascular pedicle and had resulted in satisfactory result. The operation was relatively simple. Because thecomposite graft carried its own blood supply in the pedicle, it was not necessary to revascularize the composite graft by anastomosis of blood vessel during operation. Owing to the presence of abundant vascular supply of the iliac bone, the antiinfection potency was high, so its application was suitable for those conditions such as fresh severe deep burn with infection and bone defect. As a result, this technique gave the best chance to save the limb from amputation, and the duration required for treatment could be markedly shortened. This method provided the possibility to solve effectively the difficult problem dealing with the treatment of severe deep burn with infection and bone defect of the hand and wrist.

    Release date:2016-09-01 11:11 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
  • 踝周组织缺损修复

    Release date:2016-09-01 11:43 Export PDF Favorites Scan
  • 逆行胫前动脉岛状皮瓣修复足部皮肤软组织缺损

    目的 探讨应用带蒂逆行胫前动脉皮支岛状皮瓣修复足部皮肤软组织缺损的疗效。 方法 2000年7月~2005年4月,收治10例各种原因致足部皮肤软组织缺损,均存在不同程度的骨、关节与肌腱外露,软组织缺损范围6 cm×4 cm ~16 cm×10 cm。急诊修复7例;择期手术3例,其中1例足部黑色素瘤7年伴皮肤破溃5个月,行手术扩大切除。应用带蒂的胫前动脉皮支岛状皮瓣逆行移位修复,皮瓣切取范围8 cm×5 cm ~17 cm×12 cm 。 结果 术后皮瓣均成活,创口Ⅰ期愈合。随访1~21个月,皮瓣外观好,不臃肿,无感染、破溃。足部外形满意,行走正常,皮肤两点辨别觉1.0~2.5 cm。 结论 胫前动脉皮支皮瓣血管解剖恒定,易于解剖,皮瓣可切取面积大,手术方法简便,成功率高 ,适用于足部皮肤软组织缺损的修复。

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
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