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題名 | 肩胛游離皮瓣的臨床應用 |
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作者姓名(中文) | 劉國威; 劉國欽; |
作者姓名(外文) | |
書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 18:3 1985.09[民74.09] |
頁次 | 頁246-251 |
分類號 | 416.413 |
語文 | chi |
關鍵詞 | 肩胛游離皮瓣; |
中文摘要 | 馬偕紀念醫院自民國71年6月至72年8月間,共完成了21例肩胛游離皮瓣移植,使用於身體各部位缺損的重建。本系列中20例為全活,僅1例壞見,全活率為95.2%。 肩胛游離皮瓣是一塊純皮性皮瓣,其優點為:1.營養血管解剖結構恆定,變化少,剝離(dissection)容易,快捷及安全;2.血管莖(pedicle)長且直徑大;3.皮下組織適度,不若肌皮瓣肥厚,且毛髮少;4.供皮瓣區(donar site)可直接縫合(primary closure),亦無功能障礙(functional limitation)或變形;5.可與肩胛旁皮瓣(parascabular flap)及背濶肌皮瓣等合併,重建更大範圍的缺損,且又需吻合一組血管莖。 |
英文摘要 | A solely cutaneous free flap, overlying the infraspinous region of the scapula, was used in 21 cases from June 1982 to August 1983. It was of intermediate thickness, predominantly hairless and based on the cutneous branch of circumflex scapular artery. The dissection of the flap was easy, quick and safe. The longest flap used was 22cm and the widest was 11 cm, with width being limitedby the ability to achieve primary closure. In this series, the success rate was about 95.2%. There was no functional limitationnor distortion of the axillary contours. The scapular flaþ can be combined with the latissuimus dorsi flap or parascapular nap for larger areas of skin cover. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。