| 从创伤性截肢切取游离皮瓣修复肢体残端 |
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| 引用本文： | 张功林,葛宝丰,荆浩,张军华,蔡卫东.从创伤性截肢切取游离皮瓣修复肢体残端[J].中华整形外科杂志,2001,17(1):46-47,1,2,3,4. |
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| 作者姓名： | 张功林 葛宝丰 荆浩 张军华 蔡卫东 |
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| 作者单位： | 兰州军区总医院脊柱外科, |
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| 摘 要： | 目的 探讨一种从废弃肢体切取游离皮瓣修复截肢残端创面的方法。方法 通过吻合血管用于6例截肢残端软组织缺损创面的修复，皮瓣面积为6cm*cm-26cm*34cm，结果 5例完全成功，效果满意，1例因感染失败。结论 废弃肢体皮瓣具有血管解剖恒定，血管蒂长和切取容易等优点，可保留创伤性截肢残端的长度或关节功能。
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| 关 键 词： | 软组织缺损 游离皮瓣 小血管吻合 截肢 肢体残端 修复 |
Repair of soft-tissue defects with a free flap from the traumatic amputated extremity |
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| ZHANG Gonglin,GE Baofeng,JING Hao,et al..Repair of soft-tissue defects with a free flap from the traumatic amputated extremity[J].Chinese Journal of Plastic Surgery,2001,17(1):46-47,1,2,3,4. |
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| Authors: | ZHANG Gonglin GE Baofeng JING Hao |
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| Institution: | ZHANG Gonglin,GE Baofeng,JING Hao,et al.Department of Spinal Surgery,Lanzhou General Hospital of CPLA,Lanzhou 730050,China\, |
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| Abstract: | Objective To report the clinical results of repairing soft-tissue defects with a free flap from the traumatic amputated extremity. Methods 6 cases of soft-tissue defects on the remaining stumps after traumatic amputation were repaired by the technique. The sizes of flaps ranged from 6cm×8cm to 26cm×34cm. Results 5 cases obtained complete success with satisfactory results. One case failed due to infection. Conclusion The flap from the traumatic amputated extremity has a constant vascular anatomy and a long vascular pedicle so that the dissection of the flap is easy. The surgery allows preserving the functional length or the joint of the remaining stump in traumatic amputation. |
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| Keywords: | Soft-tissue defect Free flap Microvascular anastomosis |
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