改进逆行腓肠神经营养血管皮瓣修复下肢软组织缺损的临床应用

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1、·········目录1前言..............................................................7 2解剖基础.........................................................9 2.1.全身动脉造影..........................................9 2.2红色乳胶灌注..........................................9 2.3应用数字

2、减影技术......................................9 3临床资料与手术方法................................................10 3.1一般资料...................................................10 3.2手术方法...................................................10 3.2.1皮瓣的设计...................

3、.......................10 3.2.2皮瓣的制备..........................................10 3.2.3创面的修复及供区的处理..............................11 3.2.4术后处理...........................................11 3.3手术注意事项...............................................11 4结果.........

4、.....................................................13 5典型病例..........................................................14 6讨论..............................................................15 6.1腓肠神经营养血管皮瓣的命名.................................15 6.2腓肠神经营养血管皮瓣的

5、成活基础.............................16 6.3.对皮瓣的几点改进及意义.....................................16 6.3.1.加强皮瓣蒂部穿支及降低皮瓣旋转点....................16 6.3.2结扎静脉干..........................................16 6.3.3携带薄层肌肉........................................17 6.3.4保留皮神经于

6、供区....................................17 6.3.5对皮瓣进行延迟......................................18 6.4定量感觉检查的应用....................................19 7.结论..............................................................20参考文献.......................................

7、.....................21 附图................................................................26附录................................................................33 致谢...............................................................36 综述.........................

8、.......................................371····中英文缩略词表英文缩写英文名称中文名称QSTQuantitativeSensoryTesting，定量感觉检查neuro-veno-adipofascialN-VAFflapredicledfasciocutaneous皮神经浅静脉筋膜皮瓣flapCsColdsensation冷觉WSWarmthsensation温觉CP