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"岛状筋膜皮瓣" 3 results
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目的 探讨应用腓肠神经营养血管逆行岛状筋膜皮瓣修复儿童足踝部软组织缺损的临床效果。 方法 2001年3月～2004年10月，采用腓肠神经营养血管逆行岛状筋膜皮瓣修复16例儿童足踝部软组织缺损。男11例，女5例。年龄6～12岁。软组织缺损部位: 足跟部6例，外踝部5例，内踝部4例，足跟合并内踝部1例。皮瓣切取范围6 cm×4 cm～9 cm×5cm。 结果 术后15例皮瓣全部成活，1例出现远端皮瓣部分坏死，经换药植皮治愈。16例获随访6个月～3年6个月。皮瓣外观、血运、弹性良好，无溃疡或磨损，踝关节活动良好，未影响下肢生长发育。其中10例皮肤感觉有不同程度恢复，两点辨别觉5~12 mm。 结论 腓肠神经营养血管逆行岛状筋膜皮瓣解剖恒定，成活率高，简便易行，是修复儿童足踝部软组织缺损的一种理想皮瓣。
Release date：2016-09-01 09:22
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Objective To find a better method of emergency repair of skin and soft tissue defects in the lower leg, ankle and foot. Methods The distally based superficial sural artery flap was designed on the posterior aspect of the leg. From February 2000 to December 2003, 18 patients with skin and soft tissue detects of the lower leg, ankle and foot were treated with island fasciocutaneous flap supplied by superficial sural artery by emergency. The size of the flap ranged form 4 cm× 5 cm to 11 cm×12 cm. Results The flaps survived totally in 16 cases and necrosed partially in 2 cases. After 1-2 year postoperative follow-up, the results were satisfactory except that in 2 flaps. Conclusion The island fasciocutaneous flap supplied by superficial sural artery may provide a useful method for emergency repair of soft tissue defect of the lower limbs.
Release date：2016-09-01 09:33
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目的 介绍中节带指背神经的逆行岛状筋膜皮瓣修复指腹皮肤缺损的方法。方法 2003年3月~2006年4月，应用带指背神经的逆行岛状筋膜皮瓣移位修复指腹皮肤缺损11例15指。其中男4例6指，女7例9指；年龄2～51岁。挤伤8例10指，切割伤3例5指。缺损范围1.5 cm×1.5 cm～2.0 cm×1.6 cm。（补充指别！）。切取皮瓣范围1.5 cm×1.5 cm～2.0 cm×1.6 cm。取前臂内侧全层皮片修复指背供区。结果 带指背神经的逆行筋膜岛状皮瓣皮均成活，受、供区创面均Ⅰ期愈合。术后获随访6~17个月，平均12个月。皮瓣色泽、质地与原指腹皮肤接近，指腹饱满。皮瓣两点辨别觉为4～5 mm。患指远、近侧指间关节无僵直、活动受限等。结论 采用带指背神经的逆行岛状筋膜皮瓣修复指腹皮肤缺损是一种简便、有效的手术方法。
Release date：2016-09-01 09:20
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