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近年来,腓肠神经营养血管皮瓣已成为修复小腿远端、足踝部皮肤软组织缺损的重要皮瓣之一[1-2]。2005年5月-2011年6月,我们采用腓肠神经营养血管皮瓣转移修复足踝部皮肤软组织缺损15例,效果满意。现分析报告如下。 相似文献
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目的 观察应用内踝上逆行皮瓣修复足踝部皮肤软组织缺损并骨外露或跟腱外露的效果.方法 自2000年来应用内踝上逆行皮瓣27例,转移修复由车祸外伤、肿瘤等所致的足踝部皮肤软组织缺损并骨外露或跟腱外露.修复皮肤软组织缺损最大面积6cm×14cm,跟骨外露最大面积5cm×10cm.结果 共切取内踝上逆行皮瓣27块,其中血管蒂逆行皮瓣9例,筋膜血管蒂逆行皮瓣12例,带部分皮肤的筋膜血管蒂逆行皮瓣6例.其中1例皮瓣术后坏死,行游离背阔肌肌皮瓣移植修复愈合,其余逆行皮瓣及供瓣区所植皮片均完全成活,术后随访6个月~4年,效果满意.结论 内踝上逆行皮瓣移植是修复足踝部皮肤软组织缺损并骨外露或跟腱外露的理想方法之一. 相似文献
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目的 探讨应用非恒定蒂腓动脉链式穿支皮瓣修复小腿及足踝部皮肤软组织缺损的方法及临床效果. 方法 2005 - 2010年应用非恒定蒂腓动脉链式穿支皮瓣修复小腿及足踝部皮肤软组织缺损患者19例,术前应用多普勒血流仪探测腓动脉皮支位置,利用各皮支形成的链式供血方式,选择距创面直线距离最近的皮支点作为旋转点切取皮瓣修复创面.皮瓣切取面积最大25 cm×8 cm,最小16 cm×6 cm. 结果 经1.5个月~3.5年的随访,18例皮瓣成活良好,外观满意,仅1例皮瓣远端出现边缘坏死. 结论 非恒定蒂腓动脉链式穿支皮瓣不受蒂部位置的限制,切取灵活方便,是一种修复小腿及足踝部皮肤软组织缺损的理想方法. 相似文献
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腓肠神经营养血管肌皮瓣治疗小腿下段及足踝部组织感染缺损 总被引:3,自引:0,他引:3
目的 探讨腓肠神经营养血管肌皮瓣逆行转位修复小腿下段及足踝部软组织缺损的可行性.方法 对12例小腿中下段及足踝部软组织缺损或骨缺损、骨髓炎的病例,采用逆行腓肠神经营养血管肌皮瓣转移方法进行治疗.结果 12例中11例完全存活,1例皮瓣远端皮肤部分坏死,经换药瘢痕愈合.随访5~54个月,平均21个月,皮瓣质地优良,外观满意,感染治愈均尤复发.结论 腓肠神经营养血管肌皮瓣解剖简单、血供可靠,抗感染能力强,是临床上治疗小腿及足踝部软组织缺损并感染的良好选择. 相似文献
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足踝部血液循环比较差,外伤或手术后常易发生皮肤软组织缺损,伴有肌腱、骨骼外露,感染等并发症。随着对神经营养皮瓣的临床应用研究,选择隐神经血管营养远端蒂皮瓣转移以修复足踝部的缺损,既减少了手术风险以及供受区代价,同时又较好地满足了组织修复的需要[1-3]。我科自2004-08~2012-06行足踝部组织缺损隐神经修复23例,效果满意,现报道如下。 相似文献
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目的探究超声弹性成像(UE)中肿瘤深度对于判断乳腺肿物的良、恶性影响。方法选取本院2017年1月~2018年10月间收治的178例因乳腺肿块行手术切除患者为观察对象,纳入病灶200个。依据肿瘤深度不同分4组。对所有的患者在术前均予以常规超声检查以及超声弹性成像检查,对比不同深度肿瘤的UE成像情况、分析诊断效能(准确度、特异度、灵敏度以及阴、阳性预测值),对比良恶性乳腺肿瘤UE成像检查的阳性率。结果诊断良性病灶114个、恶性病灶86个;D组成像效果与A、B、C组相比的UE成像效果更差(P<0.05);A组特异度与B、C、D组的对比差异有统计学意义(P<0.05);A组准确度显著高于D组,差异有统计学意义(P<0.05),UE成像技术对恶性病灶的诊断阳性率显著更高(P<0.05)。结论在乳腺超声弹性成像检查中,对于乳腺肿物的良、恶性成像质量,诊断的特异度与准确度均受到肿瘤深度的影响。 相似文献
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Longo UG Loppini M Marineo G Khan WS Maffulli N Denaro V 《Sports medicine and arthroscopy review》2011,19(4):321-332
Pathologies of tendon of the long head of the biceps (LHB) are an important cause of shoulder pain. They include tendinopathy, rupture, superior labrum anterior and posterior lesions, pulley tears, and tendon instability. Conservative management of symptomatic LHB tendinopathy is commonly accepted as the first-line treatment. It consists of rest, nonsteroidal anti-inflammatory drugs, corticosteroid injections, and physical therapy. Biceps tenotomy and tenodesis are the most common surgical procedures to manage both isolated LHB pathology and biceps-glenoid complex tears combined with rotator cuff tears. However, controversy persists about the superiority of one of them because there is no evidence of significant differences in functional scores or patient satisfaction between the 2 techniques. This article provides an overview on biomechanical function of the LHB and current strategies for treatment of LHB disorders. 相似文献
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Honda K Arai Y Kashima M Takano Y Sawada K Ejima K Iwai K 《Dento maxillo facial radiology》2004,33(6):391-395
OBJECTIVES: The purpose of this study was to evaluate the usefulness of the limited cone-beam X-ray CT (3DX) (Morita Co., Japan) in measuring the thickness of the roof of the glenoid fossa (RGF) of the temporomandibular joint (TMJ). MATERIALS AND METHODS: Twenty-one TMJs removed at autopsy from 21 cadavers were investigated macroscopically using dissection and 3DX imaging. A Digimatic Outside Micrometer and a 3DX-image tool were used to measure the minimum thickness of the RGF. Multiple measurements were made to identify the thinnest area. Once the thinnest areas had been identified, three linear measurements were made and the average value was used for statistical analysis. RESULTS: The average macroscopic examination measurement was 1.37 mm (range 0.55-3.6 mm) and the average 3DX image measurement was 1.22 mm (range: 0.51-3.0 mm). There was no significant difference between these two groups using the Mann-Whitney U-test (P < 0.05). The Spearman's correlation coefficient by rank between these two groups was r = 0.93(P < 0.001). CONCLUSION: These results suggest that bone thickness measurements of the RGF by 3DX imaging was effective. 相似文献
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