侯春林教授主題帶血管蒂的組織瓣移位術(shù)解剖與設計原則正-全文預覽
【正文】 gzheng Changzheng N. Digitales dorsales N. Digitales palmares proprii A. Digitales palmares proprii Changzheng 根據(jù)創(chuàng)面大小選擇皮瓣 Selection of flap according to the size of defect 皮瓣選擇應考慮到受區(qū)范圍及皮瓣可能提供的大小，皮瓣應稍大于受區(qū)創(chuàng)面 The size of defect and flap should be considered. The size of flap should exceed that of the defect. Changzheng Changzheng 手 術(shù) 要 點 Operation outline Changzheng ?慢性感染創(chuàng)面需徹底病灶清除 The sinus, dead bone, inflammatory tissue with poor blood supply must be thoroughly cleaned up. 受區(qū)準備 Preparation of the recipient site Changzheng ?先標明旋轉(zhuǎn)中心位置及皮瓣縱軸線 ， 根據(jù)創(chuàng)面形狀及大小設計皮瓣 First, make sure the position of the vascular pedicle and the nutritional vessel of the flap, then mark it on the the flap according to the shape and size of the defect. 皮瓣設計 Design of the flap Changzheng a d o b c Changzheng 上部臀大肌肌皮瓣修復骶部褥瘡 Repair the sacrum bedsore using the myocutaneous superior of Muscle gluteus maximus Changzheng ?順行切取 先顯露血管蒂部 ,由近向遠分離皮瓣 First, expose the vascular pedicle, and then cut off the flap along the boundary of the flap. ?逆行切取 從皮瓣遠端開始 ,由遠向近切取皮瓣 First, cut off the flap, and then dissociate the vascular pedicle. 皮瓣切取 operation manners Classical manner Reverse manner Changzheng 順行切取 Classical manner 逆行切取 Reverse manner Changzheng ?皮瓣移位 Shift ?皮瓣推進 Advancement ?皮瓣旋轉(zhuǎn) Rotation ?交叉移植 crossing 皮瓣轉(zhuǎn)移 Flap transfer Changzheng 皮 瓣 移 位 Shift of flap Changzheng Changzheng Changzheng 皮 瓣 推 進 Advancement
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