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尺动脉近中段穿支皮瓣修复手指近中节软组织缺损 被引量:5
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作者 徐灿达 汤样华 +2 位作者 曾林如 岳振双 辛大伟 《中华手外科杂志》 CSCD 北大核心 2018年第2期139-140,共2页
目的探讨尺动脉近中段穿支皮瓣修复手指近中节软组织缺损的手术方法及疗效。方法自2013年6月至2016年8月,我们共收治16例手指近中节软组织缺损患者,缺损创面大小为1.8cm×3.9cm~2.8cm×4.9cm。均采用尺动脉近中段穿支皮... 目的探讨尺动脉近中段穿支皮瓣修复手指近中节软组织缺损的手术方法及疗效。方法自2013年6月至2016年8月,我们共收治16例手指近中节软组织缺损患者,缺损创面大小为1.8cm×3.9cm~2.8cm×4.9cm。均采用尺动脉近中段穿支皮瓣游离移植修复,皮瓣切取面积为2.0cm×4.2cm~3.0cm×5.3cm。结果本组16例皮瓣全部存活,供受区未并发深部感染。术后随访时间为6-18个月,平均9.2个月,皮瓣质地优良,外形满意,感觉功能恢复良好,两点分辨觉达9~12mm。供区愈合后遗留线性瘢痕,无疼痛和关节功能障碍。末次随访手指功能,根据中华医学会手外科学会上肢部分功能评定试用标准评价:优7例,良6例,可3例。结论尺动脉近中段穿支皮瓣是一种修复手指近中节软组织缺损的较理想手术方法,可恢复手指良好的外观及感觉功能,手术效果较满意。 展开更多
关键词 指外科皮瓣 损伤 软组织缺损 移植
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Experimental study on early division of cross finger pedicle flap and its clinical application
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作者 衡代忠 张聪 《Chinese Journal of Traumatology》 CAS 2000年第3期159-162,共4页
Objective: To observe the revascularization and the opportunity of cross finger flap. Methods: An animal model was developed to permit daily monitoring of neovascularization of the flap with autoradiography, tissue tr... Objective: To observe the revascularization and the opportunity of cross finger flap. Methods: An animal model was developed to permit daily monitoring of neovascularization of the flap with autoradiography, tissue transparent technique, gross observation and histological examination. Results: The revascularization of the flap was chiefly raised from the surrounding tissues. The pedicles of 334 cross finger flaps of the patients were successfully divided from 1 to 5 d after operations, averagely 3.3 d. All of the cases showed satisfatory results according to a follow up survey of 3 to 72 mon. The results further proved that the revascularization of the cross finger flaps had accomplished within 3 d. Conclusions: It suggests that the division of a cross finger flap can be carried out between the 3rd and 5th day after operation with a high degree of safety. 展开更多
关键词 Surgical flaps FINGERS Blood circulation
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