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題 名 | Reverse Flow Saphenous Arterial Island Flap for Reconstructing the Defects Around the Knee=以逆流性隱動脈皮瓣重建膝部附近軟組織之缺損 |
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作 者 | 陳善運; 陳理維; 楊國強; 徐圭璋; 湯崇彥; 王泰然; 陳錦時; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 6:2 1997.06[民86.06] |
頁 次 | 頁79-85 |
分類號 | 416.413 |
關鍵詞 | 逆流性隱動脈皮瓣; 膝部附近軟組織; Reverse flow island flap; Saphenous artery; Sartorius muscle; Descending genicular artery; Medial inferior genicular artery; |
語 文 | 英文(English) |
中文摘要 | 膝部附近皮膚的特性有毛少、較薄的真皮及脂肪層。所以此部位的軟組織重建較肢體的其他部位困難。以前發表過的“局部皮”,如腓皮瓣或排腸肥皮瓣,可能會造成供皮區明顯損傷或受皮區過度肥厚,而且手術困難度也往往不小。至於遠部皮瓣,則可能會如跨腿皮瓣般造成不適,或如游離皮瓣般須要長時間困難的顯微手術。因此,尋找其他方便可靠的皮瓣來做膝部重建,仍是較好的選擇。我們奄最近兩年內成功地移植了六例逆流性隱動脈皮瓣(併發症有一例表層缺血壞死)來重建膝部軟組織之缺損。 這個皮瓣的血流功能是隱動脈的逆行性血流一一主要來自與內下膝動脈的交通。我們所取的皮瓣最長為12.5公分,最寬為8公分。所有的皮瓣供應區皆可直接縫合而不留下明顯的疤痕或功能損傷。 臨床經驗證明它是一個薄、血流可靠及毛少的皮瓣。 |
英文摘要 | the knee. In recent two years, we successfully raised six reverse flow (distally-based) saphenous arterial island flaps to resurface the soft tissue defects around the knee. This flap is supplied by the retrograde flow of the saphenous artery via communication mainly with the medial inferior genicular artery. The longest flap was 12.5 cm, and the widest was 8 cm. All donor sites were closed directly without significant donor scar ing or mobidity. One complication is superficial necrosis in a 71-year-old patient. We concluded that this was a thin, pedicle long, and vascularly reliable flap. |
本系統中英文摘要資訊取自各篇刊載內容。