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題名 | Modified Reverse Sural Artery Flap=逆轉式腓腸動脈皮瓣的改良:一種能增加血流量及提高可信度的新方法 |
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作者 | 羅仁傑; 陳宏基; 陳恆信; | 書刊名 | 長庚醫學 |
卷期 | 20:4 1997.12[民86.12] |
頁次 | 頁293-298 |
分類號 | 416.413 |
關鍵詞 | 逆轉式腓腸動脈皮瓣; 皮辦血管莖; 加強血流量; Reverse sural artery flap; Skin pedicle; Augmented vascularity; |
語文 | 英文(English) |
中文摘要 | 背景:在重建遠端下肢、足踝部以及足跟時,逆轉式腓腸動脈皮瓣是一種常用的 皮辮。這個皮辦最常遇到的問題是它的可靠性。當這個皮瓣是經由皮下隧道轉移時,皮瓣即 可能由靜脈鬱積或是動脈血流不足而受到危害。本篇我們將介紹一種新的改善方法。 方法:經由兩階段手術,以及血管莖不經過皮下隧道而且增加皮瓣血管莖寬度的方式,可以 使皮瓣血循的可靠性增加並且能夠減少併發症。 結果:有四個病患以逆轉式腓腸動脈皮瓣經由此種改善方式來重建遠端下肢以及足跟缺損, 沒有失敗的病例發生。傷口癒合程度和病人滿意度都很好。 結論:我們的結論是只要病患下肢後側以及經由腓動脈來的穿透支沒有受到軋傷,這個改善 方法能夠提供可靠的覆蓋,來重建遠端下肢、足踝部以及足跟的缺損。 |
英文摘要 | Background: Reverse sural artery flap is a useful flap for defect reconstruction in the distal leg, ankle and heel. The major problem encountered with the reverse sural artery flap is its unreliability. It may be compromised by venous congestion and peripheral arterial insufficiency when the flap is transferred with its pedicle tunneled subcutaneously. Methods: In this study we describe modifications of this procedure consisting of a Wider pedicle during flap design and transferring it without passing the pedicle through a subcutaneous tunnel. The pedicle is then divided in a second-stage operation. Four patients with defects at various locations over the distal leg and heel had reconstruction with reverse sural artery flap in this fashion. Results: No failure developed among these cases and the wounds healed without complication. These patients were satisfied with this procedure. Conclusion: Reverse flow flap vascularity is maintained and its viability is ensured with this technical modification. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。