共查询到17条相似文献,搜索用时 187 毫秒
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腓肠肌肌皮瓣在小腿软组织缺损中的应用 总被引:1,自引:0,他引:1
目的探讨腓肠肌内侧头带蒂肌皮瓣修复小腿软组织缺损临床应用的价值。方法对1998年5月—2007年2月采用腓肠肌内侧头肌瓣及肌皮瓣进行修复的43例膝部及小腿软组织缺损病例资料进行总结分析。结果43例皮瓣全部成活,2例皮瓣远端尖部发生皮肤坏死,经游离植皮修复,受区发生表浅感染2例,供区植皮小块坏死1例,经短期换药处理愈合。结论应用腓肠肌内侧头带蒂肌皮瓣修复小腿软组织缺损,供区较为隐蔽,切取后对外形、功能影响不明显,是修复小腿软组织缺损的一种较好的方法。 相似文献
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目的 总结腹直肌肌皮瓣用于口腔颌面部修复的经验,对腹直肌肌皮瓣的用途、应用方法 、成败因素等加以分析和讨论.方法 2007年6月~2010年6月,应用腹直肌肌皮瓣修复口腔颌面部软组织缺损18例,其中男性11例,女性7例,年龄46~71岁,均为肿瘤切除造成的组织缺损,所有病例均为即刻修复.结果 18例游离组织瓣成活17例,修复成功率为94.4%.结论 对于口腔颌面部肿瘤切除后形成的组织缺损,腹直肌肌皮瓣是进行修复的理想选择. 相似文献
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带肋骨胸大肌肌皮瓣与腓骨(皮)瓣修复重建下颌骨疗效对比分析 总被引:1,自引:0,他引:1
目的通过对带肋骨胸大肌肌皮瓣与腓骨(皮)瓣修复重建下颌骨形态及功能的临床疗效进行随访对比分析,提供修复重建下颌骨的临床治疗方法和选择依据。方法19例下颌骨缺损分为两组。组Ⅰ:带肋骨胸大肌肌皮瓣修复重建下颌骨8例,其中创伤6例,肿瘤2例;组Ⅱ:腓骨(皮)瓣修复重建下颌骨11例,其中创伤7例,肿瘤4例。术后6,12,24,36个月随访观察、对比分析、评价下颌骨形态及功能恢复情况。结果接受带肋骨胸大肌肌皮瓣与腓骨(皮)瓣方法修复重建下颌骨的19例患者术后随访观察、对比分析、评价结果显示,对下颌骨形态恢复比较,两种方法差异无统计学意义,对下颌骨功能恢复比较,两种方法差异有统计学意义。结论带肋骨胸大肌肌皮瓣与腓骨(皮)瓣修复重建下颌骨形态方面有一致的临床疗效;腓骨(皮)瓣对下颌骨功能重建的临床疗效优于带肋骨胸大肌肌皮瓣。 相似文献
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目的探讨背阔肌肌皮瓣重建上肢肌肉功能、修复上肢软组织缺损创面的临床效果。方法2008年7月~2014年12月新疆医科大学第一附属医院骨科中心采用背阔肌肌皮瓣移植修复34例上肢肌肉功能、软组织缺损创面,男性25例,女性9例;年龄17~65岁,平均40.5岁。其中屈肘功能障碍者10例,屈肘并屈指功能障碍者7例,伸肘伸指功能障碍者5例,肘部皮肤缺损或骨外露12例。背阔肌肌皮瓣大小范围11cm×4cm~35cm×10cm;供区大部分采取一期缝合,2例供区部分缝合、部分采用中厚皮片植皮。结果34例患者术后获随访8个月~7年,平均21个月。其中术后出现血管危象2例,对症处理后好转;肌皮瓣的皮瓣部分坏死2例;背阔肌肌皮瓣完全坏死2例,发生局部感染1例,经清创换药完全愈合;其余18例未见明显术后并发症。结论背阔肌皮瓣血运丰富,抗感染能力强,肌瓣可填塞死腔,背阔肌肌皮瓣是修复上肢肌肉功能、上肢软组织缺损创面和骨外露感染创面的一种理想皮瓣。 相似文献
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目的 总结了12例腰背部严重放射损伤的临床治疗经验。方法 采用姑息性清创,部分切除变性的肋骨或脊突骨;然后以局部皮瓣移位修复者2例、肩胛旁皮瓣修复者1例、岛状背阔肌肌皮瓣倒转移位修复者9例。结果 移植的皮瓣、肌皮瓣伞部成活12例,占100%,溃疡甲级愈合11例,占91.7%,乙级愈合1例,占8.3%。结论 采用“姑息性切除法”,选用血循环丰富的轴型皮瓣和肌皮瓣移植修复,能有效地改善血液循环、促进创面愈合,特别是应用倒转背阔肌肌皮瓣移植修复是较好的材料。 相似文献
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Heterotopic calcification following radiotherapy is a very rare event. Here, we report a case of a patient who underwent surgical intervention including pectoralis major flap reconstruction for locally advanced pharyngolaryngeal squamous cell carcinoma with skin invasion. He was followed up post-operatively with adjuvant radiotherapy. 13 years after the treatment, suspect resistance in the myocutaneous flap region appeared and was diagnosed as a calcification. To date, the occurrence of subcutaneous calcification in the myocutaneous flap in the neck has not been described as a late complication of neck irradiation. 相似文献
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P A Hudgins J G Burson G S Gussack W J Grist 《AJNR. American journal of neuroradiology》1994,15(9):1689
PURPOSETo describe the appearance of recurrent malignant neoplasms in patients who have undergone resection of primary head and neck tumors with flap reconstruction.METHODSThirty-two examinations, 26 CT and 6 MR scans, were retrospectively reviewed in 25 patients with documented recurrent malignant neoplasms. Confirmation of disease was by biopsy or disease progression. The flaps included 15 myocutaneous, 6 free composite, 2 jejunal free grafts, and 2 combined jejunal and myocutaneous flaps.RESULTSThe most common location of recurrence was in the primary tumor bed involving the undersurface or suture line of the reconstruction flaps, 14 of 32 scans; both nodal and flap recurrence was seen in 12 of 32 scans.CONCLUSIONSWhen examining patients who may have recurrent disease after flap reconstruction, the radiologist should be aware of the type of flap used and the expected appearance. Tumor recurrence in this patient population is manifest either as a focal recurrent mass at or near the suture line of the reconstruction flap, or nodal disease, usually in the contralateral neck. 相似文献
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Image fusion of thallium-201 SPECT and MR imaging for the assessment of recurrent head and neck tumors following flap reconstructive surgery 总被引:2,自引:2,他引:0
Tomura N Watanabe O Omachi K Sakuma I Takahashi S Otani T Kidani H Watarai J 《European radiology》2004,14(7):1249-1254
The aim of this study was to assess the value of fused MR and Tl-201 single photon emission computed tomography (SPECT) images in the diagnosis of recurrent head and neck tumors in patients after flap reconstruction surgery. Twenty-four patients after resection of primary head and neck tumors with flap reconstruction were suspected of having recurrent tumor by follow-up MR examination. Both MR examination and Tl-201 SPECT were prospectively performed to produce fused images. For qualitative analysis, two independent readers separately evaluated the existence of tumor recurrence in the fused images. The Tl-201 uptake of the lesion (Tl index) was also quantitatively compared with that of the normal nuchal muscles. Eighteen patients were histologically proved as having recurrence. The remaining 6 patients, false positive on MRI alone, had non-recurrence. Using the fused images, false positive was found in 1 case for one reader and 2 cases for the other reader. The Tl index of recurrent tumors was significantly higher (p<0.001) than that of non-recurrent mass lesions. In the assessment of recurrent tumors following flap reconstruction surgery in the head and neck, the use of fused MRI and Tl-201 SPECT images can reduce the number of false positives. 相似文献
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K Ohgi A Kohno K Itabashi Y Ohkubo E Takahashi A Harasawa C Kawai K Suzuki A Narimatsu A Shigeta 《Journal of computer assisted tomography》1990,14(2):286-290
Sixty-one CT scans in 20 patients who had undergone head and neck reconstructive surgery using a pectoralis major myocutaneous (PM-MC) flap were retrospectively evaluated to assess the usefulness of Ct in the follow-up of these patients. The normal CT findings in patients with PM-MC flaps are described. Of 13 cases with tumor recurrence, CT examination correctly detected recurrent masses in all cases, including 3 in which there was no clinical sign of recurrence. Postoperative masses mimicking tumor recurrence included deformed breast tissue, hematomas, lymphoceles, and abscesses. Computed tomography was of great value in the detection of tumor recurrence, but careful interpretation is required because a postoperative complication or anatomic alteration may lead to the erroneous diagnosis of tumor recurrence. 相似文献
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目的 探讨应用分叶股前外侧肌皮瓣临床修复前臂软组织缺损与功能重建的临床效果.方法应用吻合血管分叶股前外侧肌皮瓣移植修复前臂皮肤和肌肉缺损重建运动功能12例.结果12例分叶肌皮瓣全部成活,伤几均Ⅰ期愈合.随访6~36个月,肌力3~5级.结论 分叶股前外侧肌皮瓣是覆盖前臂创面并重建其功能的较为理想的肌皮瓣.Abstract: Objective To discuss the clinical result of the free functioning ramified anterolateral thigh myocutaneous flap in clinical repair of the forearm soft tissue defects and function reconstruction.Methods Twelve patients with forearm skin and muscle defects was reconstructed with the free functioning ramified anterolateral thigh myocutaneous flap transplantation. Results All flaps survived, with one stage healing of the wound. The patients were followed up for 6-36 months, which showed that the muscle strength was at 3-5 grade. Conclusion Free functioning ramified anterolateral thigh myocutaneous flap is an ideal myocutaneous flap to cover the forearm wound and reconstruct the function. 相似文献
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目的探讨背阔肌肌皮瓣游离移植在修复头皮巨大瘢痕癌中的临床应用。方法 2009-10至2012-09我科共收治5例头皮巨大瘢痕癌患者,病变面积6 cm×8 cm~11 cm×10 cm,均侵犯颅骨,其中1例侵入颅内。均采用背阔肌肌皮瓣游离移植修复,皮瓣面积14 cm×13 cm~17 cm×16 cm。结果 5例背阔肌肌皮瓣移植术后均顺利成活,无并发症,皮瓣质地柔软,略高出周围皮肤。结论游离背阔肌肌皮瓣组织量大,血供丰富,设计灵活,是目前修复大面积头皮瘢痕癌切除后缺损较为理想的方法。 相似文献
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报道了在解剖学研究的基础上,用胸锁乳突肌胸骨头肌皮瓣行舌再造的手术设计和操作方法。7例后再造的成功表明,此种肌皮瓣具有重建舌外形的良好条件,双重血供、成活率高,手术在同一区域内1次完成,其运行和感觉功能恢复早。 相似文献