| 胫骨大范围裸露的显微外科技术修复 |
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| 引用本文： | 范启申,周祥吉,王金武,王刚.胫骨大范围裸露的显微外科技术修复[J].中华整形外科杂志,1998(6). |
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| 作者姓名： | 范启申 周祥吉 王金武 王刚 |
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| 作者单位： | Fan Qishen，Zhou Xiangji，Wang Jinwu，et al.The Trauma Center，The 89th Hospital of People's Liberation Army.Weifang，Shandong 261200 |
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| 摘 要： | 目的研究胫骨大范围裸露修复的最佳方法。方法对３２２例患者，采用游离皮瓣移植术对侧胫后血管皮支为蒂的皮瓣逆行移转术、对侧胫后血管桥接游离皮瓣移植术修复。结果３２２例胫骨裸露范围为１２ｃｍ×３ｃｍ～２４．０ｃｍ×３．５ｃｍ，用皮（肌）瓣覆盖胫骨均获成活，皮瓣与创缘有３００例Ⅰ期愈合，２２例延期愈合。随访１～５年，下肢功能均改善。无一例因胫骨失去皮肤覆盖而截肢，患者满意。结论带部分腹直肌的胸脐皮瓣、带部分肌肉的阔筋膜皮瓣、肩胛侧胸联合皮瓣游离移植是修复胫骨大范围裸露的良好方法。
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| 关 键 词： | 胫骨裸露 显微外科 桥接皮瓣 |
Microsurgical repair of the defect with large area of bare tibia |
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| Fan Qishen,Zhou Xiangji,Wang Jinwu,et al..Microsurgical repair of the defect with large area of bare tibia[J].Chinese Journal of Plastic Surgery,1998(6). |
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| Authors: | Fan Qishen Zhou Xiangji Wang Jinwu |
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| Institution: | Fan Qishen,Zhou Xiangji,Wang Jinwu,et al.The Trauma Center,The 89th Hospital of People's Liberation Army.Weifang,Shandong 261200 |
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| Abstract: | |
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| Keywords: | Bare tibia\ Microsurgery\ Bridging skin flap |
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