皮瓣宽度与腓肠神经营养血管皮瓣部分坏死等的关系及其临床意义-外科学专业毕业论文.pdf.docxVIP

硕 士 硕 士 学 位 论 文 英 文 摘 要 A B S T R A C T o bj eetive : To inv estig ate the relation sh iP o f m ax im u m w idth an d P art ia l n e e ro sis in su ra l n e u ro fa sc io c ut an e o u s flaP ; intr o du e e th e u s in g o f o b liq u e d e s ign in sura l n e u ro fa se io c ut a n e o u s fl叩 M eth od : B etw een AP ril o f 2 00 1 an d A P ril o f Z O 10 ，179 sural n e ur o fa se io e u tan e o u s flaP s ( 17 5 P atient s ) w e re P erfo rm e d ，o f wh ie h 4 P atie ni s d id b ilate ra l su ra l n e u ro fa se io e u tan e o u s flaP s . T h e ag e ran g e w a s 3 to 7 8 y ears(av erag e 32 .4 y ears). 159 so fttissu e d efeets (8 8 .8% )w ere eau sed b y trau m a，〕 h er 2 0 d efeets w ere eau sed 妙 n o n 一traum a faetors ( 11.2 % ) .A ll the defeets eo m P lieate w ith the exP o sed b o n e，jo in t， m u scle ten d on an d A eh illes ten d on .Th e m ax im um w idth(M W ) o f the flap (the m ain P art ) ran g es fro m 4 em to 1s em ，the av erag e m ax im um w ld th 15 8 .2 8 士2 .4 0 e m . T h e flap s w e re d iv id e d ini o tw o gr o uP s : th e surv iv al gr ouP (in elu d in g the flaP s w h ieh w ere eom P lete su rv iv al，d ista l suP erfieial n eero sis an d w ou n d d eh iseen ce) an d the P art ial n ecro sis grouP . A eeording to the m ax im u m w ldth，the flap s w ere d ev id ed into fiv e grouP s: gr ouP A (4 em 夕功W 5 6 em )，gr ouP B (6 cm M W 三sem )，gr ouP C (sem M W 三10 em )，g ouP D (10 em M W 三12 cm )，gr ouP E (12 em M W 生15cm ). A e e o rd in g to th e m ax imu m w ld th ，th e flap s e an a lso d e v id e d In to th e M 认性 s e m g ro uP an d th e M W s e m gr o uP . 4 5 e a se s ar e fo ot an d a 刊日e wo un d s ，h o riz o nta l wo un d s ( D iam e ter 15 lon g er th a n th e lon g itu d in