| 低位隐神经营养血管远端蒂皮瓣修复足背软组织缺损 |
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| 引用本文： | 刘永平,曾海滨,林松,张发惠. 低位隐神经营养血管远端蒂皮瓣修复足背软组织缺损[J]. 中国临床解剖学杂志, 2011, 29(5): 575-577 |
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| 作者姓名： | 刘永平 曾海滨 林松 张发惠 |
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| 作者单位： | 1.南京军区福州总医院476医院骨科， 福州 350002； 2.南京军区福州总医院军区骨科研究所， 福州 350025 |
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| 摘 要： | 目的 报道低位隐神经营养血管远端蒂皮瓣修复足背组织缺损临床效果。 方法 在应用解剖研究的基础上，2010年1月以来，临床采用低位隐神经营养血管远端蒂皮瓣治疗踝足背外伤患者11例。 结果 修复足背、跟腱区创面计11例，皮瓣完全成活，皮瓣面积最大11.0 cm×6.0 cm，最小7.0 cm× 4.0 cm.。经6～10个月随访，皮瓣柔软，可塑性好，色泽与受区接近，部分病例感觉有不同程度恢复。 结论 小腿内侧远端的血供具有多源性、纵向性和营养血管同源性的解剖学特点，是构成低位远端蒂皮瓣的解剖学基础，可以设计以胫后动脉肌间隙支低位隐神经营养血管远端蒂皮瓣，适宜踝足部及其远侧的组织缺损修复。
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| 关 键 词： | 动脉穿支 隐神经 皮瓣 足背 低位 缺损 |
| 收稿时间： | 2011-02-13 |
Repair of soft tissue defect in forefoot with the distally based saphenous neurocutaneous flap |
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| LIU Yong-ping,ZENG Hai-bin,LIN Song-qing,ZHANG Fa-hui. Repair of soft tissue defect in forefoot with the distally based saphenous neurocutaneous flap[J]. Chinese Journal of Clinical Anatomy, 2011, 29(5): 575-577 |
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| Authors: | LIU Yong-ping ZENG Hai-bin LIN Song-qing ZHANG Fa-hui |
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| Affiliation: | 1.Department of Orthopaedics, The PLA 476 Hospital of Fuzhou Gengral Hospital, Fuzhou 350002, China; 2.Laboratory of Clinical Anatomical Research Center of Military Area Command in Fuzhou General Hospital of Military Area Command of Chinese PLA，Fujian 350025，China |
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| Abstract: | Objective To explore clinical effects of the distally based neurocutaneous saphenous island flap on the repairing of soft tissue defects in the dorsum of foot.Methods According to the size and site of the defect and the rotation point,the flap was designed,based on the arterial axis associated with the saphenous nerve and the greater saphenous vein.11 patients received surgical flap transplantation.Results For all of cases,neurocutaneous saphenous island flaps survived well.The area of lived flaps ranged fr... |
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| Keywords: | Perforator artery Saphenous nerve Flap Instep Distal Defect |
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