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The revisement of antidromic dorsal interosseous artery island flap could increase vein reflux,improve rate of success.This flap is an ideal therapy to treat hand soft tissue defect.

改进的骨间背侧动脉岛状皮瓣增加了皮瓣静脉回流,提高了移植皮瓣成活率,是修复手部软组织缺损较理想的方法。

objectiveto summarize the clinical effect of repairing soft tissue defects in lower part of shank, the foot, with antidromic island flap providing blood supply by suralis nerver.methodsfrom january to december 2006,there were 10 cases repairing soft tissue defects with antidromic island flap providing blood supply by suralis nerver, including 9 males and 1 females.

目的:初步总结腓肠神经营养血管逆行岛状皮瓣在修复小腿中下段及足部创面的临床效果。方法:2006年1月~12月,我科采用腓肠神经营养血管逆行岛状皮瓣共10例,皮瓣最大面积为18cm×13cm,最小为4.5cm×10cm;其中男9例,女1例。

The biggest area was 18cm×13cm,and the smallest was 4.5cm×10cm.there were 6 cases osteomyelitis with bone exposure,4 cases muscle tendonexposure.donor-area direct suture or plant skin.resultsall flaps survived,several cases flap were fat and clumsy and need make them thin in second intention.conclusionthe clinical result of repairing soft tissue defects in lower part of shank, the foot, with antidromic island flap providing blood supply by suralis nerver is reliable.the operation is sinple, without sacrifice of major arteries, low infection to foot, convenient for application.

其中骨髓炎骨外露6例,肌腱外露4例。供区直接缝合或植中厚皮片。结果:术后皮瓣完全成活,个别病例术后较臃肿,待二期将皮瓣修薄。结论:应用腓肠神经营养血管逆行岛状皮瓣修复小腿中下段及足部创面的临床效果可靠,手术操作简便,不牺牲小腿主要血管神经,对足部影响较小,便于推广开展。

Correction of severe congenital blepharoptosis by suspension of frontal muscle flap overlapped with orbital septum aponeurosis flap

采用带血管蒂的额肌帽状腱膜复合组织瓣Ⅰ期修复重建了17例前颅底中线区大面积洞穿性组织缺损。

Palatal fistulae were repaired by this method, 4 pedicled superior-anteriorly and 14 pedicled posteriorly, 7 of which got velopharyngeal incompetence correction at the same time. Results All of the patients got satisfactory fistula closure except 3 complications. One flap got partly necrosis and two got fistulae at the hard palate. However, the fistula sizes were reduced greatly and one has been re-repaired well by the transferred buccinator musculomucosal flap one year later.

结果:共修复腭瘘患者18例;其中15例腭部瘘孔获得关闭,颊肌黏膜瓣成活良好,无感染、腮腺导管损伤或阻塞、面神经损伤,无张口受限、瘢痕挛缩及咀嚼障碍;2例因岛状颊肌粘膜瓣远端愈合不良再次出现硬腭前端瘘口,但面积较原来明显减小,其中1例再发腭瘘应用已转移到腭部的颊肌粘膜瓣组织行二次手术修复后愈合;1例岛状颊肌粘膜瓣部分坏死。

Results Endorectal advancement mucosal flap repair in conjunction with transvaginal repair was performed in 1 patient, anocutaneous advancement flap repair combined with transvaginal repair in 1 patient, transvaginal repair in 2 patients, transanal direct layer suture in 5 patients. Only 2 patients treated by transverse colostomy incorporated with irrigation and drainage, and colostomy closure operation was performed 3 months and 6 months later respectively.

采用直肠推移黏膜瓣修补结合经阴道修补1 例,经肛推移皮瓣修补结合经阴道修补1例,单纯经阴道修补2例,经肛直接分层缝合5例,2 例行横结肠造口和局部冲洗引流,3个月和6个月后分别行造口回纳。

The morphology of two types of conjunctiva flap seems different and the success rate was different between the two types of flap.

两种类型的结膜瓣形态,降压效果不同。

Methods Analyzed the survival rate,the level of sensory recovery,the length of operative incision and the surgical time of two different methods for the treatment of the fingers tip defect and bones of fingers niditas,one method is fascial flap shift and planting back in natural position or dermatoplasty,the other method is regional flap shift.

运用筋膜瓣转移+原位回植术及局部皮瓣转移修复术治疗指端软组织缺损,对两种手术方法的手术时间、手术切口长度及指端成活率、感觉恢复程度的对比分析,了解两种手术方式的差异。

The diametre of seat turns bigger when flap moves higher and smaller when flap lower.

根据阀瓣的这种形动形式,阀座通口的变化就是与阀瓣行程成正比例关系。

A similar twist with an extended human arm would start with the thumb pointed slightly up at the top of the flap, then the arm would turn so the thumb is parallel to the ground in the middle of the flap and continue down until the thumb is pointed toward the ground at the end of the downstroke, Thomas says.

托马斯介绍说,对于人伸出的一只胳膊,类似的扭转应该是:在开始拍动动作的最高位置,拇指轻微上指;然后胳膊旋转,这样拍打过程中拇指会与地面平行并连续下降,直到下降过程结束时拇指向下。

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In the United States, chronic alcoholism and hepatitis C are the most common ones.

在美国,慢性酒精中毒,肝炎是最常见的。

If you have any questions, you can contact me anytime.

如果有任何问题,你可以随时联系我。

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