| 改良骨间背动脉逆行岛状皮瓣在急诊手外伤手术中的应用 |
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| 引用本文： | 莫雄革,周传晓.改良骨间背动脉逆行岛状皮瓣在急诊手外伤手术中的应用[J].中国基层医药,2010,17(19):2615-2616. |
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| 作者姓名： | 莫雄革 周传晓 |
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| 作者单位： | 右江民族医学院附属医院创伤骨科,广西壮族自治区百色,533000 |
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| 摘 要： | 目的 介绍改良方法切取骨间背侧动脉逆行岛状皮瓣急诊手术修复手部外伤皮肤软组织缺损创面的方法.方法 用改良方法切取前臂骨间背侧动脉皮瓣逆行转移急诊亚急诊手术修复各种原因致手部皮肤缺损16例.结果 14例皮瓣均完全成活,有2例皮瓣远段表皮坏死,经换药后创面愈合.结论 通过对前臂骨间背侧皮瓣切取方法的改进,可补救急诊手外伤手术中发现或出现的血管损伤及解剖变异对皮瓣成活的影响,并降低手术难度,缩短了住院时间,值得推广.
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| 关 键 词： | 外科皮瓣 骨间背动脉 皮动脉 急诊 |
The application of the improved interosseous dorsal antidromic artery flap in the emergency treatment of hand trauma |
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| MO Xiong-ge,ZHOU Chuan-xiao.The application of the improved interosseous dorsal antidromic artery flap in the emergency treatment of hand trauma[J].Chinese Journal of Primary Medicine and Pharmacy,2010,17(19):2615-2616. |
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| Authors: | MO Xiong-ge ZHOU Chuan-xiao |
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| Institution: | 1.Department of Trauma Orthopedics, The Affiliated Hospital of Youjiang Nationalities Medical College,Baise, Guangxi 533000, China;) |
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| Abstract: | Objective To introduce the clinical application of the improved interosseous dorsal antidromic artery issular flap in the emergency treatment of the soft tissue defects in hand trauma. Methods 16 patients were received the interosseous dorsal antidromic artery flap for soft tissue defects in the hand with emergency treatment. Results All 14 flaps survived, tip necrosis occurred in 2 cases which healed without complications. Conclusion It was simple technical and shorten time in hospital with improvement of the emergency operative procedure of interosseous dorsal antidromic artery flap, and could reduce the impact of frequency of anatomic variations and vascular complications. |
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| Keywords: | Surgical flaps Interosseous dorsal antidromic artery Cutaneous artery Emergency |
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