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"肩胛下血管" 2 results
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目的 探讨以肩胛下血管分支为蒂的组织瓣修复组织缺损的临床应用价值。方法 1999年10月~2005年8月收治56例各类软组织骨缺损,其中男36例，女20例；年龄9~52岁。致伤原因：砸压伤11例，机器卷轧伤17例，车祸伤21例，热压伤7例。损伤部位：上肢35例，下肢21例，合并骨缺损6例，长3~8 cm。急诊手术21例，受伤至手术时间2～7 h；亚急诊手术27例；二期手术8例。组织缺损范围10 cm×5 cm～30 cm×16 cm。根据清创后创面的具体情况，选用背阔肌皮瓣、背阔肌穿支皮瓣、前锯肌（背阔肌）筋膜瓣加植皮术、背阔肌肌皮瓣联合肩胛骨瓣、背阔肌及前锯肌多叶筋膜瓣，分别修复创面。切取皮瓣范围110 cm×55 cm~30 cm×17 cm。结果 56例移植组织瓣均成活，其中2例术后出现血管危象，行探查术后成活；1例皮瓣远端坏死，经换药后愈合。术后创面Ⅰ期愈合51例，延期愈合4例，1例行截肢术。48例获5~40个月随访，3例术后出现瘢痕挛缩，行二期整复。6例骨缺损，骨愈合时间为3~8个月，肢体功能恢复较满意。结论 肩胛下血管分支为蒂的组织瓣是修复各种创面缺损的一种理想供区。
Release date：2016-09-01 09:23
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Fifty cases of adult cadaveric subscapular arteries and its circumflex scapulae branches and from 102 of adult skelet on the axillary border of scapulae were measured. The results were that: the external diameter of the subscapular artery was 4.3cm with the length of 2.9cm; the axillary border of the scapula was 13.4cm; the thicknesses of the upper 1/3, middle 1/3, and lower 1/3were 13.9cm,11.0cm, and 7.4cm respectively. From the results of measurement, the subscapular artery pedicled graft of axillary border of scapular could be designed for repair the defects of upper or middle ments of humerus.
Release date：2016-09-01 11:39
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