| 带蒂皮瓣移植在小腿开放性骨折中的临床研究 |
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| 引用本文： | 张建春,胡孝贞,陈海棠,王再林,温贤聪.带蒂皮瓣移植在小腿开放性骨折中的临床研究[J].现代生物医学进展,2010,10(3). |
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| 作者姓名： | 张建春 胡孝贞 陈海棠 王再林 温贤聪 |
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| 作者单位： | 1. 解放军第四二二医院,广东湛江,524005
2. 解放军第三零三医院,广西,南宁,530021 |
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| 摘 要： | 目的:探讨不同带蒂皮瓣移植术式在小腿开放性骨折中的临床应用效果。方法:35例小腿开放性骨折患者,完善术前准备后,根据小腿皮肤软组织的缺损部位、面积、深度分别选择腓肠神经营养皮(肌)瓣、隐神经营养逆行皮瓣、局部旋转皮(肌)瓣修复创面。结果:所有移植皮瓣中,1处移植失败(坏死面积>1/2),2处皮瓣远端1-2.5cm坏死,经清创换药后愈合,余患者皮瓣均成活。从皮瓣成活的优良率和出血量上对比,三组间无明显差别,从手术时间上对比,局部旋转皮(肌)瓣组优于另两组(P<0.05)。结论:在小腿开放性骨折伴皮肤软组织缺损的治疗中,完善的术前准备及根据皮损形态选择适当的皮瓣是获得满意疗效的基础。
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| 关 键 词： | 带蒂皮瓣移植 腓肠神经营养皮(肌)瓣 隐神经营养逆行皮瓣 局部旋转皮(肌)瓣 |
Clinical study on pedicle flap transfer in treatment of leg open fracture |
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| Zhang Jianchun,Hu Xiaozhen,Chen Haitang,Wang Zailin,Wen Xianchong.Clinical study on pedicle flap transfer in treatment of leg open fracture[J].Progress in Modern Biomedicine,2010,10(3). |
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| Authors: | Zhang Jianchun Hu Xiaozhen Chen Haitang Wang Zailin Wen Xianchong |
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| Institution: | Zhang Jianchun,Hu Xiaozhen,Chen Haitang,Wang Zailin,Wen Xianchong (1NO422 hospital.PLA,Zhan jiang,Guang dong,524005,2 NO303 hospital.PLA,Guang xi,Nan ning,530021) |
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| Abstract: | Objective:To investigate clinical application of pedicle flap graft in treatment of leg open fracture.Methods:35 cases of leg open fracture received surgical treatment after adequate preoperative preparation.Sural skin(muscle)flap,saphenous neurocutaneous flap and partial rotation skin(muscle)flap were selected on the basis of location,size,depth of the wound.Followed up for 6 months to 1 year,skin flap wound showed beautiful shape.Results:In the all transplanted flap,a graft failure(necrosis area>1/2),2 di... |
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| Keywords: | pedicled skin flap Sural skin(muscle)flap saphenous neurocutaneous flap partial rotation skin(muscle)flap |
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