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指根逆行岛状皮瓣血管危象的原因及补救方法 被引量:1
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作者 任家晨 白建礼 +1 位作者 付强 乔孟勇 《实用手外科杂志》 2016年第2期201-203,共3页
目的 总结和分析指根逆行动脉岛状皮瓣修复指端缺损术中出现血管危象的原因和补救方法.方法 对2005-2013年收治的285例指端缺损患者应用指根逆行岛状皮瓣修复.分析其中6例术中出现血管危象的原因,根据指动脉的解剖特点,切取后皮瓣的供... 目的 总结和分析指根逆行动脉岛状皮瓣修复指端缺损术中出现血管危象的原因和补救方法.方法 对2005-2013年收治的285例指端缺损患者应用指根逆行岛状皮瓣修复.分析其中6例术中出现血管危象的原因,根据指动脉的解剖特点,切取后皮瓣的供血方式,将易损伤的部位分为三个区域.对于Ⅱ、Ⅲ区的损伤采用动脉直接吻合,将皮瓣内动脉与对侧动脉吻合的补救方法,重建皮瓣血供.同时将皮瓣内神经指背支与指固有神经残端缝合,以恢复皮瓣感觉.结果 本组6例皮瓣均顺利成活,随访5~8个月,皮瓣外形饱满,皮瓣质地与手指末端皮肤接近,患指活动功能无明显影响.结论 熟悉手部的解剖特点,了解指根逆行岛状皮瓣切取时易出现血管危象的原因.做好术前评估,术中无创操作.出现皮瓣血管危象后分析原因,采用将皮瓣内指固有动脉远端与对侧指固有动脉远端吻合的方法,重建皮瓣血供,提高皮瓣成活率,避免手术失败或改行其他术式增加损伤. 展开更多
关键词 岛状皮瓣 吻合支损伤 补救方法
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CROSSING ANASTOMOSIS OF NERVE BUNDLES NEAR INNERVATED ORGANS TO TREAT IRREPARABLE NERVE INJURIES
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作者 Zheng-da Kuang Xin-yu Zhang +3 位作者 Jian-xiang Yao Meng-kui Kang He Li Jia-zheng Wang 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第2期131-134,共4页
Objective To study the therapeutical effects of crossing anastomosis of nerve on the peripheral and central nerve injuries. Methods Twelve kinds of central and peripheral nerve disorders and their complications were ... Objective To study the therapeutical effects of crossing anastomosis of nerve on the peripheral and central nerve injuries. Methods Twelve kinds of central and peripheral nerve disorders and their complications were treated with 11 kinds of crossing anastomosis of nerve bundles near the innervated organs. After nerve injury and repair, somatosensory evoked potentials (SEPs) and horseradish peroxidase (HRP) retrograde tracing studies were used to investigate the rabbit's nerve function and morphology. Resets The ulcers of all patients healed. Sensation, voluntary movement, and joint function recovered. Four weeks after the anastomosis of distal stump of radialis superficialis nerve and median nerve, pain sensation regained and SEPs appeared. HRP retrograde tracing studies demonstrated sensory nerve ending of medial nerve formed new connection with the body of neuron. Conclusion Crossing anastomosis of nerve is an effective method to treat peripheral and central nerve injuries. 展开更多
关键词 anastomosis of nerve nerve injury
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