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    Objective To evaluate breast reconstruction with a combined skin flap of the deep inferior epigastric perforator(DIEP) and the transverse rectus abdominis musculocutaneous(TRAM).
    目的探讨应用下腹部腹直肌肌皮瓣联合腹壁下动脉穿支皮瓣行乳房再造的手术方法,并分析其适应证。
    Conclusions The DIEP and TRAM united flap possesses of advantages such as rich blood supply,abundant tissue volume and easy shaping. It is especially applicable to the cases who have large chest defect and need large volume tissue.
    结论下腹部腹直肌肌皮瓣联合腹壁下动脉穿支皮瓣,具有血运可靠、提供组织量丰富、塑形自由度大、供区损伤较小等优点,尤适宜需要移植体积多以及胸廓内血管受损的乳房再造患者。
    Methods:Since 2003,23 cases immediate breast reconstructions were finished with different methods, such as de-epidermis pedicled lattismus myocutaneous flap, pedicled lattismus myocutaneous flap (one case with breast prosthesis), pedicled TRAM (transvers abdominal myocutaneous flap) and free DIEP (deep inferior epigastric perforator flap).
    方法:2003年以来,我们多中心课题组通力合作,对23例乳腺肿瘤患者进行术后即刻修复与再造(其中良性肿瘤6例,囊性肉瘤1例,乳腺癌16例),分别采用水平双蒂巨乳缩小方法、背阔肌肌皮瓣带蒂转移、乳房假体植入、横形腹直肌肌皮瓣带蒂转移、腹壁下动脉穿支皮瓣吻合血管游离移植。
    Objective To evaluate a new alternative method for the reconstruction of vagina with deep inferior epigastric perforator(DIEP) flap.
    目的探讨应用腹壁下动脉穿支皮瓣再造阴道的优缺点。
    Objectives: This study focuses on the anatomical potential of perforator flaps by describing the vascular architecture of the integument and quantifying the distribution of the principal source arteries to the skin.
    目的:对全身皮肤血管区域进行定性和定量分析,确定全身皮肤穿支血管的位置、数量、口径、穿支蒂的长度、类型、来源血管以及穿支所供应皮肤的面积,为穿支皮瓣提供血管解剖基础。
    Objective: To explore the morphology, localization and quantitative method of perforator flap and neurocutaneous flap.
    目的:探索穿支皮瓣与皮神经营养血管皮瓣的基础形态学定位、定量研究方法。
    The thoracodorsal artery perforator flap was used to repair for the skin defect in 6 cases based on the anatomical study.
    (2)在解剖研究基础上应用了游离胸背动脉穿支皮瓣修复肢体和躯干皮肤缺损共6例。
    Conclusions: This study provides anatomic information for understanding survival area of the perforator flap and for harvesting the reliable size of the perforator flap.
    供区隐蔽,无背阔肌功能障碍。 结论:本研究为预测胸背动脉穿支皮瓣的成活面积及安全可靠地切取该穿支皮瓣提供解剖依据。
    Objective: To provide anatomical data for clinical application of perforating flap of the posterior region of thigh.
    目的:为股后区穿支皮瓣的临床应用提供解剖学依据。
    Methods And puts on the skin petalrepair palm of the hand, the back skin damage and the tiger's mouth using the forearm radial arteryskinks, thumb, index fingers, wrist back organization damage.
    方法应用前臂桡动脉及穿支皮瓣修复手掌、背侧皮肤缺损及虎口挛缩,拇、食指、腕背组织缺损。
    Results The overall free flap success rate was 93%(1314). One DIEAP flap lost because the draining jugular vein was thrombosed.
    静脉为颈内静脉。 结果13例穿支游离皮瓣成功(93%),有1例穿支皮瓣因吻合侧的颈内静脉血栓形成导致皮瓣坏死。
    Methods By evaluating the design of flap,outcome of operation,complication,recipient and donor morbidity in 5 adults and 3 children.
    方法对5例成年人和3例幼儿病例的胸背动脉穿支皮瓣的设计、手术结果、受区并发症和供区术后的形态和功能进行分析。
    Objective To report clinic effect of applying the flap pedicled with the ascending branch of the supracarpal cutaneous branch of ulnar artery to repair skin defect on fingers.
    目的报道应用微型尺动脉腕上皮支上行支皮瓣游离移植修复手指创面的临床效果。
    Objective:To summarize clinical application of the medial sural artery perforator pedicled flap to cover soft tissue defects on the pretibial region.
    目的:总结应用腓肠内侧动脉穿支皮瓣修复胫前软组织缺损的临床应用效果。
    Objective To summarize clinical application of the medial sural artery perforator pedicled flap and muscle flaps. To cover soft tissue defects on the pretibial region.
    目的总结应用腓肠内侧动脉穿支皮瓣和肌瓣修复下肢软组织缺损的临床应用效果。
    Objective To investigate the clinical efficacy of carpal branch of ulnar artery skin flap and dorsal carpal branch of anterior interosseous artery skin flap in replantion of complicated severed hand.
    目的探讨尺动脉腕上皮支皮瓣和骨间前动脉腕背支皮瓣在复杂断掌再植中的临床应用疗效。
    According to the skin defect of severed hand,the palm of the hand was restored with upper carpal branch of ulnar artery skin flap(2-4 cm×3-6 c m),followed by restoration of the back of the hand with dorsal carpal branch of anterior interosseous artery skin flap(4-6 cm×5-8 cm)and replantation of the hand was performed simultaneously.
    骨间前动脉腕背支皮瓣逆行转位修复掌背皮肤缺损,皮瓣大小:4~6cm×5~8cm; 并同时完成断掌再植。
    Conclusions For complicated severed hands,upper carpal branch of the ulnar artery skin flap and dorsal carpal branch of the anterior interosseous artery skin flap are effective to repair the skin defect,and this procedure provides a good option for reconstructing shape and function of the severed hands.
    结论利用尺动脉腕上皮支皮瓣和骨间前动脉腕背支皮瓣分别修复复杂断掌中的掌心、掌背皮肤缺损,可较好地重建手的外形与功能,有利于一期完成断掌再植。
    In clinic, 4 cases were treated with thenar flaps pedicled with thumb radial-palmar digital artery originated from the superficial palmar branch of radial artery, 7 cases with the thumb radial-palmar digital artery perforator flaps, and 3 cases with the radial-dorsal thenar fasciocutaneous flap. All flaps survived, however 4mm margin skin necrosis happened in 1 case, which healed after decrustation.
    临床应用以掌浅支(弓)发出的拇指桡侧指动脉为血管蒂的大鱼际皮瓣4例,拇指桡侧指动脉穿支蒂皮瓣7例,大鱼际桡背侧筋膜血管蒂皮瓣4例,皮瓣全部成活,其中1例指动脉穿支皮瓣远端约4mm坏死,结痂后自行脱落。
    Objective To study the influence of the pedicle length on the perforator flaps in hemodynamics.
    目的研究主干蒂与穿支蒂穿支皮瓣血流动力学的差异。
 

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