| 阔筋膜张肌肌皮瓣在腹壁和腹股沟肿瘤切除后巨大缺损一期修复中的应用 |
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| 引用本文： | 汤睿,顾岩,龚鼎铨,钱云良.阔筋膜张肌肌皮瓣在腹壁和腹股沟肿瘤切除后巨大缺损一期修复中的应用[J].外科理论与实践,2008,13(6). |
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| 作者姓名： | 汤睿 顾岩 龚鼎铨 钱云良 |
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| 作者单位： | 1. 上海交通大学医学院附属第九人民医院,普外科,上海,200011
2. 上海交通大学医学院附属第九人民医院,整复外科,上海,200011 |
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| 摘 要： | 目的:探讨阔筋膜张肌肌皮瓣转移技术中在腹壁和腹股沟肿瘤扩大切除后巨大缺损一期修复中的应用.方法:2001年8月～2008年5月.我科收治的7例腹壁或腹股沟恶性肿瘤病人在行根治性扩大切除后造成巨大缺损(缺损面积≥80 cm2),采用带蒂或游离阔筋膜张肌肌皮瓣转移技术进行一期修复.结果:全部病例成功实现一期修复,无手术死亡,仅1例出现少量皮瓣边缘坏死.术后随访3～84个月,2例出现局部复发,未发现有腹壁疝形成.结论:阔筋膜张肌肌皮瓣转移技术是一期修复腹股沟区恶性肿瘤扩大切除所致之皮肤和肌层巨大缺损的理想方法.
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| 关 键 词： | 腹部肿瘤 腹股沟肿瘤 巨大缺损 阏筋膜张肌肌皮瓣 修补手术 外科 |
Tensor fascia lata myocutaneous flap in the repair of extensive defect caused by excision of tumor in the inguinal region |
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| TANG Rui,GU Yan,GONG Ding-quan,QIAN Yun-liang.Tensor fascia lata myocutaneous flap in the repair of extensive defect caused by excision of tumor in the inguinal region[J].Journal of Surgery Concepts & Practice,2008,13(6). |
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| Authors: | TANG Rui GU Yan GONG Ding-quan QIAN Yun-liang |
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| Institution: | TANG Rui~a,GU Yan~a,GONG Ding-quan~a,QIAN Yun-liang~b.a.Depaartment of General Surgery,b.Department of Plastic Surgery,Shanghai Ninth Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China |
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| Abstract: | Objective To investigate the effect of immediate repair of extensive defect caused by excision of tumor in the inguinal region,by using a tensor fascia lata myocutaneous flap.Methods From August 2001 to May 2008,six pedicled and one free tensor fascia lata myocutanous flaps were used for immediate repair of extensive defects after the radical excision of 5 abdominal wall neoplasms and 2 groin neoplasms.The defective area ranged from 80 to 400 cm~2.In 3 cases of abdominal wall defects accompanied by the loss... |
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| Keywords: | Abdominal neoplasm Groin neoplasm Major defect Tensor fascia lata myocutanous flap Revision surgical |
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