吻合血管组织移植在创伤与修复外科的临床应用 |
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Received:January 20, 2002
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作者 | Author | 单位 | Unit | E-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 |
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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 |
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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 |
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徐国士 |
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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 |
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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 |
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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 |
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The clinical application of vascular pedicled tissue transplantation in the trauma and reparative surgery |
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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 |
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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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