west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "陈玉兵" 6 results
  • 足背动脉穿支蒂皮瓣修复前足背侧皮肤软组织缺损疗效观察

    目的 探讨足背动脉穿支蒂皮瓣修复前足背侧皮肤软组织缺损的临床疗效。 方法 2011 年 1 月—2016 年 6 月,应用足背动脉穿支蒂皮瓣修复前足背侧皮肤软组织缺损 16 例。男 10 例,女 6 例;年龄 17~65 岁,平均 28.5 岁。致伤原因:重物砸伤 9 例,交通事故伤 7 例。左足 7 例,右足 9 例。创面均位于跖跗关节以远前足背侧;合并肌腱外露 10 例,骨外露 6 例。急症修复 9 例,择期修复 7 例。创面范围 5.0 cm×4.0 cm~7.5 cm×7.0 cm。皮瓣切取范围为 6 cm×6 cm~9 cm×9 cm。 结果 1 例皮瓣术后第 2 天开始出现张力性水疱,皮瓣肿胀较严重,经对症处理后愈合;其余皮瓣及供区植皮均成活。术后 16 例均获随访,随访时间 6~18 个月,平均 8 个月。皮瓣颜色、质地、厚度均与周围正常组织相似,患足能正常穿鞋及负重行走。 结论 足背动脉穿支蒂皮瓣手术操作简便,无需牺牲主干血管,是修复前足背侧皮肤软组织缺损的有效方法之一。

    Release date:2017-05-05 03:16 Export PDF Favorites Scan
  • RECONSTRUCTION OF SOFT TISSUE DEFECTS IN DISTAL DORSALIS PEDIS WITH DISTALLY BASED MEDIALDORSAL NEUROCUTANEOUS FLAP ON FOOT

    Objective To investigate the surgical methods and cl inical results of reconstructing soft tissue defects in distal dorsal is pedis with distally based medial dorsal neurocutaneous flap on foot. Methods From January 2004 to July 2007, 11 cases of soft tissue defects in distal dorsal is pedis were treated with the distally based medial dorsal neurocutaneousflap on foot, including 8 males and 3 females aged 18-55 years. Nine cases were caused by crash and 2 cases were caused by traffic accident. There were 4 cases of tendon exposure and skin defects in the distal dorsal is pedis, 6 cases of bone exposure and skin defects in and adjacent to the first metatarsal head and 1 case of bone exposure and skin defects in the distal dorsal is pedis due to the third and fourth toe damage. The area of defects ranged from 3 cm × 3 cm to 7 cm × 5 cm. Distally based medial dorsal neurocutaneous flaps on foot were incised to repair the soft tissue defects and the size of the flaps ranged from 4 cm × 4 cm to 8 cm × 6 cm. Thickness skin graft was appl ied to repair donor site. Results All the flaps survived and all wounds healed by first intention. Skin graft in donor site survived completely in 10 cases and survived partly in 1 cases (heal ing was achieved after the flap above lateral malleolus was used to repair). All cases were followed up for 6 months-1 year. The color, texture and thickness of the flaps were similar to those of recipient site. All patients returned to their normal weight-bearing walking. No skin ulceration in flaps and donor site was observed. Conclusion The operative technique of the distally based medial dorsal neurocutaneous flap on foot is simple, convenient and safe. The distally based flap is effective in repairing soft tissue defects of middle and small sized skin and soft tissue defects in distal dorsal is pedis.

    Release date:2016-09-01 09:19 Export PDF Favorites Scan
  • DISTALLY BASED SAPHENOUS NEUROCUTANEOUS FLAP OF LOWER ROTATING POINT REPAIRING SOFT TISSUE DEFECT IN DORSUM OF FOREFOOT

    Objective To investigate the surgical methods and cl inical results of reconstructing soft tissue defects in dorsum of forefoot with distally based saphenous neurocutaneous flap of lower rotating point. Methods From January 2005 to August 2007, 6 cases of soft tissue defects in dorsum of forefoot, including 4 males and 2 females aged 28-53 years, were treated with the distally based saphenous neurocutaneous flaps of lower rotating point. The soft tissue defect was in left foot in 2 cases and in right foot in 4 cases. Five cases of soft tissue defects were caused by crush, and 1 case was caused by traffic accident. Tendons and bones were exposed in all cases. The defects after debridement were 7.0 cm × 5.0 cm to 9.0 cm × 5.5 cm in size. Emergency operation was performed in 2 cases and selective operation in 4 cases. Rotating point of the flaps was from 1 to 3 cm above medial malleolus. The size of the flaps ranged from 8.0 cm × 6.0 cm to 13.0 cm × 6.5 cm. Neuroanastomosis was performed in 2 cases of the flaps. Skin defects in donor site were repaired with thickness skin graft. Results Four cases of the transferred flaps survived completely and the other 2 cases began to swell and emerge water bl ister from the distant end of the flap after operation, which resulted in distal superficial necrosis of flaps, heal ing was achieved after change dressings and skin grafted. Skin graft in donor site survived completely in all cases. All cases were followed up from 6 to 18 months. The color and texture and thickness of theflaps were similar to reci pient site. Pain sensation and warmth sensation of the 2 flaps whose cutaneous nerve were anastomosed recovered completely, two point discrimination were 8 mm and 9 mm respectively. Sensation and warmth sensation of the 4 flaps whose cutaneous nerve were not anastomosed recovered partly. All patients returned to their normal walking and running activities and no ulceration occurred. No donor site morbidity was encountered. Conclusion Blood supply of the distally based saphenous neurocutaneous flap of lower rotating point is sufficient, the flap is especially useful for repair of soft tissue defects in dorsum of forefoot.

    Release date:2016-09-01 09:19 Export PDF Favorites Scan
  • 邻指逆行指动脉皮瓣修复手术末节皮肤脱套伤

    Release date:2016-09-01 09:35 Export PDF Favorites Scan
  • 改良全指腹皮瓣前移修复指腹缺损

    Release date:2016-09-01 10:26 Export PDF Favorites Scan
  • APPLICATION OF COMPUTED TOMOGRAPHY ANGIOGRAPHY IN VISUALIZE OF LATISSIMUS DORSI MYOCUTANEOUS FLAP TRANSPLANTATION

    Objective To evaluate the feasibil ity and cl inical significance of the computed tomography angiography (CTA) for the latissimus dorsi muscle (LDM) flap transplantation. Methods From September 2007 to August 2008, 3 cases of soft tissue defects in l imbs were treated with LDM flap transplantation. Three patients included 2 males and 1 female whowere 23 to 42 years old. All of soft tissue defects were caused by trauma. The locations were the forearm in 2 cases and the leg in 1 case. The area of defect was 17 cm × 8 cm-20 cm × 10 cm. All cases received CTA to observe the distribution and anastomosis of thoracodorsal artery. Subsequently, three-dimensional computer reconstruction were carried out to display the stereoscopic structure of the LDM flap and to design the LDM flap before operation. Results The anatomy characteristic of LDM flap can be displayed accurately by the three-dimensional reconstruction model. The distribution of thoracodorsal artery in 3 cases of flaps was in concordance with preoperative design completely. All the flaps were excised successfully, the area of the flap was 19 cm × 10 cm-22 cm × 12 cm. All the transferred flaps survived completely. All cases were followed up from 4 months to 12 months. The color and texture of the flaps were good. Conclusion The three-dimensional reconstructive images can provide visible, stereoscopic and dynamic anatomy for cl inical appl ication of LDM flap. The digitized three-dimensional reconstructive models of LDM flap structures can be appl ied in cl inical training and pre-operative design.

    Release date:2016-09-01 09:07 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content