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"肩胛下血管" 2 results
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目的 探討以肩胛下血管分支為蒂的組織瓣修復組織缺損的臨床應用價值。方法 1999年10月~2005年8月收治56例各類軟組織骨缺損,其中男36例，女20例；年齡9~52歲。致傷原因：砸壓傷11例，機器卷軋傷17例，車禍傷21例，熱壓傷7例。損傷部位：上肢35例，下肢21例，合并骨缺損6例，長3~8 cm。急診手術21例，受傷至手術時間2～7 h；亞急診手術27例；二期手術8例。組織缺損范圍10 cm×5 cm～30 cm×16 cm。根據清創后創面的具體情況，選用背闊肌皮瓣、背闊肌穿支皮瓣、前鋸肌（背闊肌）筋膜瓣加植皮術、背闊肌肌皮瓣聯合肩胛骨瓣、背闊肌及前鋸肌多葉筋膜瓣，分別修復創面。切取皮瓣范圍110 cm×55 cm~30 cm×17 cm。結果 56例移植組織瓣均成活，其中2例術后出現血管危象，行探查術后成活；1例皮瓣遠端壞死，經換藥后愈合。術后創面Ⅰ期愈合51例，延期愈合4例，1例行截肢術。48例獲5~40個月隨訪，3例術后出現瘢痕攣縮，行二期整復。6例骨缺損，骨愈合時間為3~8個月，肢體功能恢復較滿意。結論 肩胛下血管分支為蒂的組織瓣是修復各種創面缺損的一種理想供區。
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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