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- 重建顯微手術
- 以雙側鼻唇皮瓣重建全下唇缺損
頁籤選單縮合
題名 | One-Stage Reconstruction of Complex Hand Defects with Composite Free Arterialized Venous Flaps: A Preliminary Clinical Result=以複合性游離動脈化靜皮瓣對複雜性手部缺損做一階段完全重建 |
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作者 | 鄭泰如; 湯月碧; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 28:6 民84.11-12 |
頁次 | 頁434-441 |
分類號 | 416.615 |
關鍵詞 | 游離動脈化靜皮瓣; 手部缺損; 重建; Composite free arterialized venous flap; |
語文 | 英文(English) |
中文摘要 | 對於除軟組織缺損外,尚涉及深部血管、神經或肌腫缺損的手外傷重建,一直是顯微重建及手外科醫師的一項挑戰性工作。傳統的手術方式,往往需經一階段以上的手術或者在一階段的手術中包含了一項以上的手術步驟。取自前臂腹側的靜脈皮瓣、可同時將一段掌長肌肌腫或皮神經含於皮瓣內。經由顯微手術方式,將此皮瓣當成一複合性游離動脈化靜脈皮瓣,則可對上述之複雜缺損以一階段方式完全重建。自1991年起,我們共處理75例此類患例,所有皮瓣均存活良好,外觀及功能恢復上也都令人滿意。以動脈化方式處理游離靜脈皮瓣是一良好可行的手術方式。此種手術方式應是目前重建此類複雜手部缺損的優先考慮。 |
英文摘要 | Venous flap from the forearm can incorporate either a segment of cutaneous nerve or palmaris longus tendon. With microsurgical technique, this composite flap can be applied as a free arterialized venous flap to accomplish one-stage reconstruction for complex hand defects which involve not only soft tissue loss but also loss of the underlying nerve artery or tendon. From 1991, five cases with such complex hand defects were reconstructed here by composite free arterialized venous flaps. There was no flap compromise. The esthetic and functional outcomes have also been satisfactory. This method further extends the application of venous flap from simple soft tissue coverage and is superior to conventional two-stage, or multiple procedures in one-stage reconstruction for this category of hand defects. This method is believed to be a primary choice for difficult hand reconstruction in this modern era. More liberal clinical application should be encouraged. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。