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吻合血管组织移植在创伤与修复外科的临床应用
Hits: 1871   Download times: 1488   Received:January 20, 2002    
作者Author单位UnitE-Mail
宋修军 SONG Xiu-jun 青岛大学医学院附属青岛市立医院,山东 青岛 266011 Qingdao Municipal Hospital, Medical College of Qingdao University Shandong Qingdao ,266011, China  
曲永明 QU Yong-ming 青岛大学医学院附属青岛市立医院,山东 青岛 266011 Qingdao Municipal Hospital, Medical College of Qingdao University Shandong Qingdao ,266011, China  
周伦 ZHOU Lun 青岛大学医学院附属青岛市立医院,山东 青岛 266011 Qingdao Municipal Hospital, Medical College of Qingdao University Shandong Qingdao ,266011, China  
徐国士 青岛大学医学院附属青岛市立医院,山东 青岛 266011 Qingdao Municipal Hospital, Medical College of Qingdao University Shandong Qingdao ,266011, China  
期刊信息:《中国骨伤》2002年15卷,第12期,第715-717页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨吻合血管组织移植在创伤与修复外科临床应用经验。

方法:1986年以来行吻合血管组织移植127例,其中各种皮瓣或肌皮瓣60例,骨皮瓣移植6例,骨或半关节移植15例,足趾移植拇手指再造35例41指,趾甲皮瓣修复拇、指末节6例,趾关节移植修复指间关节2例,空肠或结肠移植重建咽食道3例。

结果: 2例皮瓣坏死,余均成活,效果良好。

结论:以皮支血管为蒂的皮瓣移植、肌腱穿皮瓣组合移植、血管的端-侧或端-残支吻合、指-趾或跖血管吻合的应用使组织移植更为精确。
[关键词]:移植,自体  吻合术  外科皮瓣  骨移植
 
The clinical application of vascular pedicled tissue transplantation in the trauma and reparative surgery
Abstract:

Objective:To investigate the clinical application of vascular pedicled tissue transplantation in the trauma and reparative surgery

Methods:127 cases of vascularised tissue transplantation were performed with micro-surgical technique,60 cases with free flaps and myocutaneous flaps,6 cases with osteocuta-neous flaps, 15 cases with bone and semi-joint bone, toe-to-hand transfer 35 cases with 41digits,nail skin flap of toe for reconstruction of distal segment of thumb or finger 6 cases, toe joint transfer for reconstruction of in-terphalangeal joint in 2 cases and jejunum or colon transplantation for esophageal reconstruction in 3 cases.

Results:All the cases were successful except 2 flaps necrosed.

Conclusion:Flap transplantation with branches of blood vessel as pedicel, faciocutaneous flap with tendon graft tunnel through fascia-layer, end to lateral vessel anastomosis are useful and exact for surgical repair and tissue graft.
KEYWORDS:Transplantation, autologous  Anastomosis  Surgical flap  Bone transplantation
 
引用本文,请按以下格式著录参考文献:
中文格式:宋修军,曲永明,周伦,徐国士.吻合血管组织移植在创伤与修复外科的临床应用[J].中国骨伤,2002,15(12):715~717
英文格式:SONG Xiu-jun,QU Yong-ming,ZHOU Lun.The clinical application of vascular pedicled tissue transplantation in the trauma and reparative surgery[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(12):715~717
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