| 交腿比目鱼肌瓣带蒂移植修复对侧小腿软组织缺损 |
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Received:October 20, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张功林 |
ZHANG Gong-lin |
兰州军区总医院全军骨科研究所, 甘肃 兰州 730050 |
Institute of Army Orthopaedics, Lanzhou General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
668zgl@163.com |
| 甄平 |
ZHEN Ping |
兰州军区总医院全军骨科研究所, 甘肃 兰州 730050 |
Institute of Army Orthopaedics, Lanzhou General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
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| 陈克明 |
CHEN Ke-ming |
兰州军区总医院全军骨科研究所, 甘肃 兰州 730050 |
Institute of Army Orthopaedics, Lanzhou General Hospital of Lanzhou Military Area, Lanzhou 730050, Gansu, China |
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| 赵来绪 |
ZHAO Lai-xu |
甘肃省武山县人民医院骨科, 甘肃 天水 741300 |
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| 杨军林 |
YANG Jun-lin |
甘肃省武山县人民医院骨科, 甘肃 天水 741300 |
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| 周建华 |
ZHOU Jian-hua |
甘肃省武山县人民医院骨科, 甘肃 天水 741300 |
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| 薛钦义 |
XUE Qin-yi |
甘肃省武山县人民医院骨科, 甘肃 天水 741300 |
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| 期刊信息：《中国骨伤》2015年28卷，第11期，第1052-1055页 |
| DOI：10.3969/j.issn.1003-0034.2015.11.016 |
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目的:报告比目鱼肌瓣带蒂移植修复对侧小腿软组织缺损临床应用结果。
方法:自2008年1月至2013年1月,应用比目鱼肌瓣移植修复对侧小腿软组织缺损8例,男7例,女1例;年龄20～49岁,平均31.8岁。损伤至手术时间:2～8周,平均46 d.肌瓣表面行Ⅰ期中厚网状游离植皮,供区直接缝合。
结果:8例肌瓣全部成活,其中1例,受区创缘去除引流条后每天从引流孔有少量渗出液流出,经2周换药处理自然愈合。8例患者均获随访,时间1.5～4年 (平均2.5年).胫腓骨骨折全部愈合,受区外形较好。下肢功能按LEM标准评定,优2例,良5例,尚可1例。
结论:比目鱼肌瓣带蒂移植很适宜伤肢仅有1条主要血管伴有软组织缺损的修复,可以减轻对供区的损伤。 |
| [关键词]:软组织损伤 外科皮瓣 带蒂肌瓣 |
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| Application of cross-leg soleus muscle flap transplantation to treat the soft-tissue defect in contralateral leg |
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Abstract:
Objective:To summarize the clinical application results of the repair soft tissue defect in contralateral leg with a cross-leg soleus muscle flap pedicle transplantation.
Methods:From January 2008 to January 2013,8 patients with soft-tissue defect in lower leg underwent reconstruction with a cross-leg soleus muscle flap pedicle transplantation(without microvascular anastomoses). There were 7 males and 1 female,aged from 20 to 49 years old with an average of 31.8 years. The operative time after injury was from 2 to 8 weeks with the mean of 46 days. The soleus muscle flap was transposed across to the contralateral leg defect area,then immediate to perform the coverage of the muscle flaps by a meshed split-thickness skin graft. The donor site was closed directly.
Results:All the muscle flaps had survived completely. In one case,recipient area edge had a less exudate from drainage hole everyday,the incision spontaneously was healed after 2 week's changing dressing. Follow-up period ranged form 1.5 to 4 years with an average of 2.5 years postoperatively. The tibia and fibula fractures were healed well. A good contour was achieved at the recipient area. According to LEM standard,2 cases got excellent results,5 good and 1 fair.
Conclusion:Soleus flap pedicle transplantation is very suitable to repair the soft tissue defect of the injuried leg only one main blood vessel,and can reduce the damage of donor area. |
| KEYWORDS:Soft tissue injuries Surgical flaps Pedicle muscle flap |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张功林,甄平,陈克明,赵来绪,杨军林,周建华,薛钦义.交腿比目鱼肌瓣带蒂移植修复对侧小腿软组织缺损[J].中国骨伤,2015,28(11):1052~1055 |
| 英文格式: | ZHANG Gong-lin,ZHEN Ping,CHEN Ke-ming,ZHAO Lai-xu,YANG Jun-lin,ZHOU Jian-hua,XUE Qin-yi.Application of cross-leg soleus muscle flap transplantation to treat the soft-tissue defect in contralateral leg[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(11):1052~1055 |
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