頁籤選單縮合
題名 | 以肌肉移位術治療下肢皮膚缺損合併骨暴露 |
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作者 | 顏錦田; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 18:1 1985.03[民74.03] |
頁次 | 頁16-23 |
分類號 | 416.413 |
關鍵詞 | 肌肉移位術; 下肢皮膚缺損合併骨暴露; |
語文 | 中文(Chinese) |
中文摘要 | 下肢的皮膚缺損合併骨暴露,以保守性的治療方法或皮膚移植,皆不能得到理想療效。且易造成再度缺損致長期的慢性潰瘍或慢性骨髓炎。簡單而有效的方法是先以肌肉移位術來覆蓋暴露之骨骼傷口,後再以皮膚移植於肌肉表面上使傷口癒合。 榮民總醫院重建整形外科從民國70年7月至民國73年7月共有11病例施行肌肉移位術以治療下肢皮膚缺損合併骨暴露的傷口。其中腓腸肌5例,腓腸肌和比目魚肌2例,脛前肌3例,伸趾長肌1例,外展小趾肌1例。謹將其治療結果提出分析比較。 |
英文摘要 | Skin defects of the leg with bony exposure are difficult to close with conventional methods or split grafting. Subsequent recurrent ulceration and chronic osteomyelitis are not uncommon during long-term follow up. A simple and effective way to manage such lesions which almost always gets good result is the transposition of an adjacent muscle with additional split skin graft on the muscle flap. From July 1981 to July 1984, 11 cases of skin defect of the leg with bony exposure treated by this method in Veterans General Hospital all obtained satisfactory results. From Ger's experience various leg muscles can be transposed to cover upper, middle or lower 1/3 leg defects especialIy with bony exposed areas. Results of the treatment are described in detail, its advantages and compIication are also discussed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。