west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "小腿" 51 results
  • CLINICAL APPLICATION OF THE UL-TRA LENGTH AND WIDTH RANDOM CALF FASCIOCUTANEOUS FLAP

    The ultra length and width random calf fasciocutaneous flaps whose blood supply came from the calf fasciocutaneous vascular network were transposed in 9 cases for the treatment of severe trauma of leg. All of the flaps survived except one having necrosis of the distal fourth. The length and width of the flap to the width of the pedicle were 6.1∶1 and 2.7∶1 respectively. Properly extended the area and decreased of blood perfusion of the flan would reduce the burden of the venous backflow to the flap relatively. The abundant vascular networks of the calf fasciocutaneous flap was a very important factor that this type of flap would possibly survive.

    Release date:2016-09-01 11:34 Export PDF Favorites Scan
  • 踝周组织缺损修复

    Release date:2016-09-01 11:43 Export PDF Favorites Scan
  • RECONSTRUCTION OF LEG AND ANKLE DEFECTS BY USING FREE RECTUS ABDOMINIS MUSCLE FLAPS WITH INTERMEDIATE SPLIT THICKNESS SKIN GRAFT

    Objective To study the method and effect of free rectusabdominis muscle flaps with intermediate split thickness skin graft in repairing defects on legs and ankles.Methods From May 1998 to December 2002, 11 cases of defects on legs(2 cases) and on ankles( 9 cases) were repaired by use of unilateral free rectus abdominis flap with skin graft. The soft tissue defects were accompanied by osteomyelitis or the exposure of bone or tendon.The disease course was 1 month to 10 years. The defect size ranged 3 cm×4 cm to 8 cm×14 cm. The area ofrectus abdominis muscle flaps was 4 cm×6 cm to 8 cm×15 cm. Results All patients were followed up 6 months to 4 years after operation. All rectusabdominis flaps survived with good appearances and functions.The primary healing was achieved in 8 cases, intermediate split thickness skin graft necrosed in 3 cases and the wound healed after skin re-graft.Conclusion Free rectus abdominis flap is a proper option for repair of the soft tissue defects or irregular woundson legs and ankles. It has the advantages of abundant blood supply, b anti-infection ability, good compliance and satisfied appearance.

    Release date: Export PDF Favorites Scan
  • The Repair of Lower Leg, Ankle and Foot Soft Tissue Defects

    目的 评价不同皮瓣、肌皮瓣修复小腿及足踝部皮肤软组织缺损的效果,探讨小腿及足踝部皮肤软组织缺损的理想修复方法。 方法 2002年6月-2010年1月,应用15种皮瓣、肌皮瓣修复128例(138处)小腿及足踝部皮肤软组织缺损。其中小腿中上段21处,小腿中下段45处,内外踝及足跟部43处,足背及前足29处。主要应用最多的皮瓣有腓肠神经营养血管皮瓣、腓肠肌内外侧头肌皮瓣、腓浅神经营养血管皮瓣和足底内侧皮瓣。修复软组织缺损范围5 cm×4 cm~23 cm×14 cm。 结果 术后135处创面Ⅰ期愈合,皮瓣完全成活;2处皮瓣部分坏死,经二次手术植皮修复;1例游离股前外侧皮瓣修复小腿中下段软组织缺损,皮瓣完全坏死,后改取对侧腓肠神经营养血管交腿皮瓣修复成活。腓肠神经营养血管皮瓣应用例数最多,成活率高,吻合血管的游离皮瓣坏死率较高。术后患者均获随访1~10年,平均23个月,皮瓣均成活良好, 无溃疡、渗液等。 结论 正确认识并选择皮瓣、肌皮瓣修复小腿及足踝部皮肤软组织缺损可提高皮瓣成活率,恢复肢体良好功能,腓肠神经营养血管皮瓣是一种修复小腿及足踝部软组织缺损的理想皮瓣。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • TREATMENT OF OSTEOCUTANEOUS DEFECT OF LEG BY REVERSED OR PERI0STEOCUTANEOUS FLAP OF TIBIA

    This article introduced a newmethod of repaire of osteocutaneousdefect of the lower leg by thetransfer of periosteocutaneous flap.The donor artery was the posteriortibial artery which supplied the skinof the medial aspect of the middleand lower leg. The medial skin flapof the leg had vascular communicat-ion with the periostium of the ant-erior aspect of the tibia. The shapeand size of the flap could be design-ed according to the recipient area,and the flap axis should be along theline from medial tibial condyle to the medial malleolus, generelly at the level of 3.7.11. or 15cm above the medial malleolus. The skin defect could be repaired by free graft, and 2 patients received this operation had achieved good result after 1 year follow-up.

    Release date:2016-09-01 11:41 Export PDF Favorites Scan
  • 静脉移植延长血管蒂的腓骨皮瓣临床应用

    目的 探讨双侧小腿严重创伤的感染性骨骼与皮肤缺损的修复方法。 方法 2000年3月~2004年6月,收治3例双侧小腿严重创伤患者,年龄22~38岁,均为男性。一侧小腿为主干血管长段损伤致感染性皮肤骨骼缺损,另一侧为胫骨粉碎性骨折合并软组织损伤,骨折已愈合,局部贴骨瘢痕形成。皮肤缺损范围9 cm×6 cm~13 cm×9 cm,骨骼缺损6~10 cm。3例均采用静脉移植延长血管蒂的腓骨皮瓣并腿移位修复。 结果 1例于术后第2天出现血管危象,经探查排除血栓,重新吻合血管后危象解除。另2例骨皮瓣均完全成活。3例均于术后6周断蒂,术后3~5个月,腓骨瓣与受区胫骨达骨性愈合。随访2年,双下肢均可负重行走,步态正常,膝、踝关节屈伸活动可,恢复正常生活与工作。结论 应用延长血管蒂的腓骨皮瓣并腿移位治疗双侧肢体血管损伤,或胫骨骨折的小腿感染性骨骼皮肤缺损,能使患肢避免截肢并恢复一定功能。

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • REPAIR OF HUGE SKIN DEFECT ON LEG AND FOOT WITH MULTIPLE PEDICLED BLOCKING RANDOMIZED FASCIOCUTANEOUS FLAP

    OBJECTIVE In order to increase the survival area of pedicled fasciocutaneous flap, a multiple pedicled blocking randomized fasciocutaneous flap was designed. METHODS From January 1991 to September 1998, this technique was used to repair 33 cases, including 27 males and 6 females and the ages ranged from 6 to 58 years. All of the patients were suffered from traffic accidents. In these cases, 22 cases had skin defects of legs and feet with bone, nerve and tendon exposed, 5 cases had osteomyelitis as well as internal fixaters exposed and the other 6 had deformity from scar. The size of the flap was 25.0 cm x 13.0 cm x 2.4 cm at its maximum and 6.0 cm x 3.5 cm x 1.5 cm at its minimum. Based on the traditional blocking flap, according to the severity of the wound and conditions of the neighboring tissues, a flap having 2 to 4 orthogonal pedicles with a width of 1.5 to 3.0 cm was designed. The medical-graded stainless steel sheet was implanted below the deep fascia, and after blocking for 3 to 6 days, the side pedicles were divided. 6 to 14 days later, one of the two remaining pedicles was divided and was transferred to repair the defect. RESULTS 31 cases were followed up for 6 months to 5 years without any trouble of the joints. The flap had a good external appearance and was high pressure-resistant. CONCLUSION The multiple pedicled blocking randomized fasciocutaneous flap increased the size of the flap and the length to width ratio. It had the following advantages: manage at will, high resistance to infection and a large survival area of flap.

    Release date:2016-09-01 11:05 Export PDF Favorites Scan
  • 幼儿小腿侵袭性纤维瘤病一例

    Release date:2018-07-30 05:33 Export PDF Favorites Scan
  • 足背动脉皮瓣治疗小腿软组织缺损

    目的 探讨采用足背动脉皮瓣修复小腿软组织缺损的临床效果。 方法 2002年8月~2005年7月, 采用足背动脉皮瓣移位术治疗创伤后小腿软组织缺损及瘢痕10例。男6例,女4例。年龄18~48岁。软组织缺损部位:小腿中下1/3 1例,小腿下1/3 5例,外踝4例。缺损范围4 cm×3 cm~10 cm×8 cm,皮瓣切取范围6 cm×5 cm~12 cm×10 cm。 结果 术后9例伤口Ⅰ期愈合,皮瓣均成活;1例因压迫血管蒂部导致皮瓣缺血,经对症处理后皮瓣血运恢复,伤口Ⅱ期愈合。供区均Ⅰ期愈合。10例均获随访6~30个月,平均18个月。皮瓣外观满意,血运、弹性均良好,感觉恢复。1例足母趾背伸功能稍差, 余患者踝部功能良好。 结论 足背动脉皮瓣有良好血液供应,解剖位置恒定, 方法可靠, 疗程短, 是修复小腿软组织缺损的一种理想皮瓣。

    Release date:2016-09-01 09:23 Export PDF Favorites Scan
  • 小腿腓肠神经和隐神经营养血管蒂皮瓣修复胫前及足部软组织缺损

    目的 报道小腿腓肠神经、隐神经营养血管蒂皮瓣修复胫前及足部缺损的临床应用及其疗效。 方法 2004年2月~2006年4月,对15例胫前及足部外伤感染后致软组织缺损坏死骨外露彻底清创后,采用腓肠神经或隐神经营养血管蒂皮瓣修复,胫前软组织缺损6.5 cm×4.0 cm~16.0 cm×8.0 cm,足部软组织缺损4.0 cm×2.6 cm~6.0 cm×4.5 cm。皮瓣切取范围为5.5 cm×4.5 cm~18.0 cm×10.0cm。 结果 术后13例皮瓣Ⅰ期愈合,2例Ⅱ期愈合,经3~12个月随访,质地良好,外观满意。足背皮瓣中1例边缘坏死,另1例少许表皮坏死。踝部功能不受影响,皮瓣皮肤感觉仅少部分恢复。 结论 小腿腓肠神经或隐神经营养血管蒂皮瓣是修复胫前及足部软组织缺损的有效方法,但蒂长血供有限,宜慎用。

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
6 pages Previous 1 2 3 ... 6 Next

Format

Content