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題名 | Skin Transplantion between Identical Twins--Case Report=孿生姊妹之間的皮膚移植--病例報告 |
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作者 | 杜隆成; 蕭弘道; 歐聖運; Tu, Lung Chen; Hsiao, Hung Tao; Ou, Shuan Yuan; |
期刊 | 中華民國重建整形外科醫學會雜誌 |
出版日期 | 19980300 |
卷期 | 7:1 1998.03[民87.03] |
頁次 | 頁53-58 |
分類號 | 416.412 |
語文 | eng |
關鍵詞 | 孿生姊妹; 皮膚移植; Free groin flap; Identical twins; |
中文摘要 | 在燒燙傷病患傷口的照顧上,雖然已有相當大的進步,但是傷口愈合後瘢痕攣縮 之處理到現在仍然是一項極大的挑戰。我們報告一位16歲年輕女孩,當她4歲時受到了燙 傷,從她雙側大腿、腹部,直到前胸的下面都產生瘢痕,且導致左側乳房向下移位7公分。 從她孿生姐妹的右下腹取腹部皮瓣利用顯微移植到患者的左上腹。由於受皮者的上腹動脈非 常狹小,因此將腹股皮瓣的動脈、靜脈和受皮者大網膜動脈、靜脈分別吻合。不幸的是,由 於患者術後一移動身體即導致皮瓣蒼白,在安全的考量下只好在第二天取下此腹部皮瓣改成 全層植皮。術後追蹤6個月,植皮生長情況良好,沒有發生排斥現象。 |
英文摘要 | Though great advances have been made in treating burn patients, management of scars remeins a breat challenge. We report a16 years old girl who suffered from a burn injury when she was 4 years old. She developed scar contractures on her thighs and from the lower chest to the abdomen. The contracture over her left chest caused downward displacement of the left breast. She has an identical twin sister. A free groin flap was taken from the twin and it was transplanted. Unfortunately, the flap became pale if the patient changed position. We had to remove the flap because of the poor blood supply and convert it into full thickness skin. The graft survived. |
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