| 腓骨移植术33例分析 |
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Received:September 27, 2000 Revised:January 20, 2001
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张祖根 |
ZHANG Zu-gen |
贵州省人民医院,贵州贵阳550002 |
The People Hospital of Guizhou Guizhou Guiyang,550002 |
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| 田晓滨 |
TIAN Xiao-bin |
贵州省人民医院,贵州贵阳550002 |
The People Hospital of Guizhou Guizhou Guiyang,550002 |
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| 李波 |
LI Bo |
贵州省人民医院,贵州贵阳550002 |
The People Hospital of Guizhou Guizhou Guiyang,550002 |
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| 陈阳 |
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贵州省人民医院,贵州贵阳550002 |
The People Hospital of Guizhou Guizhou Guiyang,550002 |
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| 李作勇 |
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贵州省人民医院,贵州贵阳550002 |
The People Hospital of Guizhou Guizhou Guiyang,550002 |
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| 期刊信息：《中国骨伤》2001年14卷，第9期，第515-516页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：介绍我院1981年8月至1999年10月采用吻合血管的游离腓骨移植术修复四肢长骨干骨缺损33例的手术治疗方法。
方法：带血管蒂的游离腓骨移植至受区时,其动脉吻合采用动脉双口吻合法或叫”T“形嵌入端端吻合法；在带血管蒂的游离腓骨取材入路上作了简化。
结果:经随访6个月至5年,平均2.5年,经X线摄片检查,术后移植骨临床愈合时间为2～5个月,平均3.5个月。肢体功能基本恢复正常。
结论：带血管蒂的游离腓骨移植是修复四肢长骨长段骨缺损的有效方法；在血管吻合时采用动脉”T“形嵌入端端吻合法,该法既保证移植骨的血供,又使受区供血动脉原供区血液供应不受影响,在带血管蒂的腓骨取材上,本术式入路操作简便 |
| [关键词]:骨移植 修复术 外科 血管外科手术 骨缺损 |
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| Vascular pedicled fibular graft for the treatment of bone defect in long bone of the limb.A report of 33 cases |
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Abstract:
Objective:To review 33 cases of bone defect in long bone of the limbs treated with vascular pedicled free fibular graft and vascular anastomosis from 1981.8 to 1999.10.
Methods:When free fibula with vessel pedicle was grafted to recipient region,arterial anastomosis was performed by arterial anastomosis or end-to-end anastomosis with "T" shape insert.
Results:The follow-up period ranged from 6 months to 5 years,with an average of 2.5 years.The clinical union during of grafted bones ranged from 2 to 5 months,with an average of 3.5 months.The limb function nearly recovered to normal.
Conclusion:Grafting of fibula with vascular pedicle is an effective method to repair bone defect in long bone of the limb.End-to-end anastomosis with "T" shape insert during vascular anastomosis ensures blood supply of grafted bone,and there is no side effects on blood supply of origin blood circulation.The operation is simple and the graft material is ready to be procured. |
| KEYWORDS:Bone transplantation Revision surgical Vascular surgery Bone defects |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张祖根,田晓滨,李波,陈阳,李作勇.腓骨移植术33例分析[J].中国骨伤,2001,14(9):515~516 |
| 英文格式: | ZHANG Zu-gen,TIAN Xiao-bin,LI Bo.Vascular pedicled fibular graft for the treatment of bone defect in long bone of the limb.A report of 33 cases[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(9):515~516 |
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