皮瓣宽度与腓肠神经营养血管皮瓣部分坏死的关系及其临床意义外科学专业论文.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