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吻合血管腓骨皮瓣组合异体骨移植修复下肢软组织伴大段骨缺损
引用本文:陈灼彬,李桂英. 吻合血管腓骨皮瓣组合异体骨移植修复下肢软组织伴大段骨缺损[J]. 中国医药导报, 2011, 8(16): 48-49
作者姓名:陈灼彬  李桂英
作者单位:广州市番禺区中医院骨科,广东广州,511400
摘    要:目的:探讨在下肢软组织伴大段骨缺损患者中应用吻合血管腓骨皮瓣组合异体骨移植的临床疗效。方法:选取2005年5月~2009年5月于我院住院治疗的12例下肢软组织伴大段骨缺损患者为观察组,采用吻合血管腓骨皮瓣组合异体骨移植治疗进行修复。选取2000~2004年行腓骨皮瓣治疗的16例患者为对照组。结果:所有患者随访12~40个月,所有皮瓣全部成活,术后3~8个月后异体骨与腓骨愈合。观察组Enneking评分显著优于对照组,两组肢体功能恢复(91.7%vs 80.7%),差异有高度统计学意义(P〈0.01);两组关节优良率分别为91.7%(11/12)、81.3%(13/16),差异有统计学意义(P〈0.05)。结论:应用吻合血管腓骨皮瓣组合异体骨移植治疗下肢软组织伴大段骨缺损,自体骨与异体骨愈合良好,可改善患肢功能并减少伤残率。

关 键 词:腓骨  皮瓣  异体骨  骨缺损

Thansplantation of allograft bone and vascularized free fibular autograft for repairing large bone and soft tissues defects of lower extremities
CHEN Zhuobin,LI Guiying. Thansplantation of allograft bone and vascularized free fibular autograft for repairing large bone and soft tissues defects of lower extremities[J]. China Medical Herald, 2011, 8(16): 48-49
Authors:CHEN Zhuobin  LI Guiying
Affiliation:CHEN Zhuobin,LI Guiying Department of Orthopedics Physician,Chinese Medicine Hospital of Panyu District in Guangzhou City,Guangdong Province,Guangzhou 511400,China
Abstract:Objective: To explore the clinical efficacy of thansplantation of allograft bone and vascularized free fibular autograft for repairing large bone and soft tissues defects of lower extremities.Methods: 12 cases of patients with large bone and soft tissues defects of lower extremities underwent allograft bone and vascularized free fibular autograft from May 2005 to May 2009 were designed as observation group,16 patients treated with vascularized free fibular autograft from 2000 to 2004 were selected as contro...
Keywords:Fibular  Flap  Allograft bone  Bone defect  
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