真皮下血管网皮瓣血流量与皮瓣成活关系.docVIP

真皮下血管网皮瓣血流量与皮瓣成活关系 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：真皮下血管网皮瓣血流量与皮瓣成活关系 1 1 材料和方法 3 2 结果 4 3 讨论 4 文2：护理干预对局部皮瓣转移修复小腿和足部软组织缺损皮瓣成活的影响 6 1 资料与方法 7 2 结果 12 2组皮瓣一期成活比较（例） 13 3 讨论 13 参考文摘引言： 13 原创性声明（模板） 15 文章致谢（模板） 15 正文 真皮下血管网皮瓣血流量与皮瓣成活关系 文1：真皮下血管网皮瓣血流量与皮瓣成活关系 【ABSTRACT】 Objective:To investigate objective criterion for living skinflap,decide when the best opportunity is to break the pedicle of skinflap and provide evidences for clinical unit （PU） of skinflaps with subdermal vascular plexus was monitored ten days after and before breakpedicle operation in relation between PU and alive skinflap was :Skinflaps PU with subdermal vascular plexus was measured by Laser Doppler flowmetry(LDF)before and after the intercept of skin around skin flap was measured as flaps were divided into two groups according to existing by pathoexam ten days after breakpedicle operation:Living group and necrosis s Variance of two groups was :PU Ratio before and after the intercepttest(InterceptRatio)and PU in living group is higher than that of necrosis group obviously(Ratio of PU in living group is ±%)(P）.There is no statistical difference between PU of skinflap and skin around the skin flaps.（P）.Ratio of PU skin flap and skin around skin flap(CircumferenceRatio)was ± in living group :The PU increase of skin flaps with subdermal vascular plexus after breakpedicle operation followed interceptRatio;The best opportunity of breakpedicle operation was cotituted by three main points ：①It should be done above seven days after plasty of skinflap.②Survivohip should be confirmed by macroscopic observation.③InterceptRatio of skin flap should exceeded %.The standard of living skin flap is that CircumferenceRatio exceeded % on the tenth day after breakpedicle operation and survivohip of skinflap should be confirmed by eyes. 【KEY WORDS】 Skin flap,LaserDoppler Flowmetry,Microcirculation,Hemoperfusion 一般认为真皮下血管网皮瓣（以下简称皮瓣）可以早期断蒂，但如何掌握断蒂指征与手术时