查詢結果分析
相關文獻
- Flow-Through Anterolateral Thigh Flap for Simultaneous Reconstruction and Revascularization in Primary Rhabdomyosarcoma of the Hand
- Thinned Groin Flap in Hand Reconstruction
- The Extended Distally Based Second Dorsal Metacarpal Flap in Hand Reconstruction
- 利用逆行性島狀皮瓣作手部重建
- Simultaneous Reconstruction of Multiple Metacarpal Defects and Forearm Extensor Tendon Injury--A Case Report
- Free Lateral Arm Fascial Flap Reconstruction for Multiple Digital Amputation Followed by Reshaping with Elastic Cohesive Bandage--Case Report and Review of the Literature
頁籤選單縮合
題 名 | Flow-Through Anterolateral Thigh Flap for Simultaneous Reconstruction and Revascularization in Primary Rhabdomyosarcoma of the Hand=使用穿流型的大腿前外側自由皮瓣來同時重建手部惡性橫紋肌肉瘤切除後的軟組織缺損以及手指血循 |
---|---|
作 者 | 陳思翰; 潘信誠; 李經維; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 23:3 2014.09[民103.09] |
頁 次 | 頁277-283 |
分類號 | 416.615 |
關鍵詞 | 手部重建; 穿流型的大腿前外側自由皮瓣; Rhabdomyosarcoma; Flow-through anterolateral thigh flap; |
語 文 | 英文(English) |
中文摘要 | 背景:橫紋肌肉瘤是成人在手部很罕見的惡性腫瘤,對於手外科醫師來說,在能腫瘤切除完全和盡可能的保留手部最大功能中間取得最好的平衡,是一個很大的挑戰。目的及目標:在腫瘤切除後確認切除完全的同時,我們嘗試著使用穿流型的大腿前外側自由皮瓣來針對切除後的傷口進行重建,包括覆蓋軟組織缺損以及建立手指的血液循環。材料及方法:本文報告一位71歲患者有右手橫紋肌肉瘤,此腫瘤同時包埋食指和中指的屈肌腱、食指和無名指的各單側指神經、以及中指兩側的指神經和指動脈。我們腫瘤切除完後,用右手的掌長肌腱做肌腱的重建,用右大腿皮下神經做神經的重建,最後用穿流型的大腿前外側自由皮瓣來重建其軟組織的缺損以及中指血液循環的建立。結果:病人於術後接受電療及化療,六年多來的追蹤都沒有腫瘤局部復發的情形,術後右手的手部功能也沒有很大的失能。結論:針對病人接受手部惡性腫瘤切除之後的重建,用穿流型的大腿前外側自由皮瓣是一個很好的選擇。 |
英文摘要 | Background: Rhabdomyosarcoma is a rare malignant tumor of the adult hand. Complete tumor excision with maintenance of maximal hand function is challenging. Aim and Objectives: We used a flow-through anterolateral thigh (ALT) flap for simultaneous soft tissue reconstruction and digit revascularization in a case of primary rhabdomyosarcoma of the hand. Materials and Methods: A 71-year-old man had a rhabdomyosarcoma involving the flexor tendons, digital nerves, superficial palmar arch, and intrinsic muscles of the palm. After extensive resection, we performed tendon grafting using the palmaris longus tendon, nerve grafting using the femoral nerves, and digit revascularization with simultaneous soft tissue coverage using a flow-through ALT flap. Results: Adjuvant chemotherapy and radiotherapy were performed after surgery. No tumor recurrence was found, and hand function was well preserved during 6-year outpatient follow-up. Conclusion: The flow-through ALT flap was effective for achieving simultaneous digit revascularization and soft tissue reconstruction in this case of a complex hand defect. |
本系統中英文摘要資訊取自各篇刊載內容。