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腓肠肌瓣
相关语句
  gastrocnemius flap
     The Application of Gastrocnemius Flap in Dealing with Injury of Popliteal Vessels Combined with Avulsed Wound of a Large Area Cutis in Lower Limb
     腓肠肌瓣在腘血管损伤并大面积皮肤撕脱伤中的应用
短句来源
     Methods: In the course of treatment of patients with injury of popliteal vessels combined with avulsed wound of a large area cutis in lower limb,We used the method of covering the exposed popliteal vessels with the back rotated gastrocnemius flap, which pedicel is internal or external sural vessels, then cover the wound surface with free skingrafting.
     方法:对6例胭动静脉损伤并下肢大面积皮肤撕脱伤者,在修复血管后用以腓肠内或外侧血管为蒂的腓肠肌瓣逆向旋转覆盖外露的腘动静脉,再行游离植皮修复创面。
短句来源
  gastrocnemius muscle flap
     APPLIED ANATOMY OF THE RETROGRADE TRANSPLANTATION OF THE GASTROCNEMIUS MUSCLE FLAP
     腓肠肌瓣逆行移位的应用解剖学
短句来源
  “腓肠肌瓣”译为未确定词的双语例句
     The time interval from injury to flap surgery ranged from 3 to 43 days (mean, 18.9 days). 31 were free (14 gracilis, 8 latissimus dorsi, 2 latissimus dorsi with rib, and 7 rectus) and 12 were pedicled flaps (9 lateral leg, 2 gastrocnemius, 1 soleus). Results There was 1 failure involving free latissimus dorsi flap.
     本组病例受伤至皮瓣手术平均18.9d(3~43d),游离皮瓣31例(游离股薄肌皮瓣14例,游离背阔肌皮瓣8例,游离背阔肌加肋骨2例,游离腹直肌皮瓣7例),有蒂皮瓣12例(小腿外侧皮瓣9例,腓肠肌瓣2例,比目鱼肌肌瓣1例)。
短句来源
     Methods:Thirty-seven Gustilo ⅢC fracture of tibia were treated by tissue flaps combined external fixation,including 10 skin flaps with saphenous nerve and nutrient vessels,18 with sural nerve and nutrient vessels,9 gastrocnemius muscular flaps,17 semicircular fixations,9 unilateral fixations,11 assembled fixations.
     其中采用隐神经营养血管皮瓣10例,腓肠神经营养血管皮瓣18例,腓肠肌瓣9例; 半环架17例、单边架9例、组合架11例。
短句来源
  相似匹配句对
     APPLIED ANATOMY OF THE RETROGRADE TRANSPLANTATION OF THE GASTROCNEMIUS MUSCLE FLAP
     腓肠肌逆行移位的应用解剖学
短句来源
     GASTROCNEMIUS FLAP REPAIR THE ANTERIOR SOFT TISSUE LESION OF THE TIBIA
     腓肠肌修复胫前软组织缺损
短句来源
     Lift in V Y flap.
     V Y皮推进。
短句来源
     For motor neuron-muscle condition, ARP was prolonged.
     腓肠肌ARP延长。
短句来源
     Michelia septipetala Z.L.Nong
     七含笑
短句来源
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  gastrocnemius flap
We conclude that knee disarticulation with the use of a myocutaneous gastrocnemius flap is a safe, functionally acceptable operative method in high risk vascular patients.
      
Soft tissue defects, resulting from open fractures or after primary treatment, have to be closed by gastrocnemius flap transfer within a short time.
      
  gastrocnemius muscle flap
Soft-tissue coverage ought to be performed with a gastrocnemius muscle flap covered with a split-thickness skin graft.
      
The gastrocnemius muscle flap provides easy and reliable soft-tissue reconstruction in large defects.
      
The gastrocnemius muscle flap in the correction of severe flexion contracture of the knee
      
The knee joint was replaced with a custom-made endoprosthesis and the knee extensor mechanism was reconstructed with a medial gastrocnemius muscle flap.
      
Osteoporosis induced by chemotherapy and change of forces transmitted to the calcaneus after reconstruction with a gastrocnemius muscle flap might contribute to this fracture.
      


Objective To observe the clinical effects of flap coverage in treatment of severe open injuries of lower limb and to analyze common complications and the timing of flap coverage. Methods Between 1999 and 2004, a total of 43 flap grafts were done for 42 lower limbs in 41 patients with such injuries at our institutions. The cases were reviewed retrospectively. There were 38 ⅢB and 2 ⅢC fractures, and 2 amputations of the forefoot. 34 were males, and 7 females. The average age of the patients at the time of injury...

Objective To observe the clinical effects of flap coverage in treatment of severe open injuries of lower limb and to analyze common complications and the timing of flap coverage. Methods Between 1999 and 2004, a total of 43 flap grafts were done for 42 lower limbs in 41 patients with such injuries at our institutions. The cases were reviewed retrospectively. There were 38 ⅢB and 2 ⅢC fractures, and 2 amputations of the forefoot. 34 were males, and 7 females. The average age of the patients at the time of injury was 38 years (range, 14 to 75 years). There were 33 injuries to the tibia, 10 to the ankle and foot. The soft tissue defects ranged from 4 to 450 cm2 (mean 71 cm2) in size. The time interval from injury to flap surgery ranged from 3 to 43 days (mean, 18.9 days). 31 were free (14 gracilis, 8 latissimus dorsi, 2 latissimus dorsi with rib, and 7 rectus) and 12 were pedicled flaps (9 lateral leg, 2 gastrocnemius, 1 soleus). Results There was 1 failure involving free latissimus dorsi flap. There were 4 nonunions (9.52%). Preoperative wound cultures were positive from 26 patients. There were 4 cases of deep soft tissue infection (9.52%). A distinct difference existed in duration from injury to flap surgery between pre op culture positive group (22.4 days) and pre op culture negative group (8.33 days). Conclusion Early flap coverage before colonization of bacteria, appropriate antibiotic administration, early bone grafting, and safe and practical ETS (end to side) technique are advocated.

目的观察以皮瓣覆盖下肢严重开放骨折的疗效,分析常见的并发症及手术时机。方法自1999年12月~2004年4月间,41例患者,42侧下肢,共43个皮瓣。Ⅲb型骨折38个肢体,Ⅲc型骨折2个肢体,足的截肢性损伤2个肢体。男34例,女7例,年龄14~75岁,平均38.3岁。损伤部位33例在胫骨,10例位于足和踝。创面面积4~450cm2(平均71cm2)。本组病例受伤至皮瓣手术平均18.9d(3~43d),游离皮瓣31例(游离股薄肌皮瓣14例,游离背阔肌皮瓣8例,游离背阔肌加肋骨2例,游离腹直肌皮瓣7例),有蒂皮瓣12例(小腿外侧皮瓣9例,腓肠肌瓣2例,比目鱼肌肌瓣1例)。结果1例游离背阔肌皮瓣失败,骨不愈合4例(9.52%),26例患者术前创面细菌培养阳性,4例出现深部软组织感染(9.52%)。我们将术前细菌培养呈阳性的患者和术前细菌培养呈阴性患者的手术时间做了比较,两组患者受伤至皮瓣手术的平均时间分别为22.4d和8.33d,两者有显著性差异。结论提倡合理使用抗菌素,早期覆盖创面及植骨。端-侧吻合是适用和安全的。

Objective:To investigate a method for dealing with the injury of popliteal vessels combined with avulsed wound of a large area cutis in lower limb. Methods: In the course of treatment of patients with injury of popliteal vessels combined with avulsed wound of a large area cutis in lower limb,We used the method of covering the exposed popliteal vessels with the back rotated gastrocnemius flap, which pedicel is internal or external sural vessels, then cover the wound surface with free skingrafting. Results: Treated...

Objective:To investigate a method for dealing with the injury of popliteal vessels combined with avulsed wound of a large area cutis in lower limb. Methods: In the course of treatment of patients with injury of popliteal vessels combined with avulsed wound of a large area cutis in lower limb,We used the method of covering the exposed popliteal vessels with the back rotated gastrocnemius flap, which pedicel is internal or external sural vessels, then cover the wound surface with free skingrafting. Results: Treated by the above-mentioned method, all limbs of this group of patients (6 cases) have been saved. Following up (0. 6-3. 2 years) showed the patients can walk normally in daily life. Conclusion: For emergency treatment with injury of popliteal vessels combined with avulsed wound of a large area cutis in lower limb,it s a simple,practical and timesaving method to cover the naked popliteal vessels with the back-rotated gastrocnemius flap and cover with free skingrafting sequentially. A good functional restoration can be achieved.

目的:探讨胭动静脉损伤并同侧下肢大面积皮肤撕脱伤的治疗方法。方法:对6例胭动静脉损伤并下肢大面积皮肤撕脱伤者,在修复血管后用以腓肠内或外侧血管为蒂的腓肠肌瓣逆向旋转覆盖外露的腘动静脉,再行游离植皮修复创面。结果:6例经上述方法处理后均得以保肢。随访0.6-3.2年,患者能正常行走,上下楼梯无影响,患踝跖屈肌力无明显下降,膝关节伸0°,过伸5-10°,屈曲可达90-110°,患者对治疗满意。结论:利用腓肠内(外)侧血管为蒂的旋转腓肠肌瓣覆盖损伤外露的胭动静脉联合游离植皮修复创面是处理胭动静脉损伤并下肢大面积皮肤撕脱伤的一种简单、省时、实用的治疗方法,适合急诊处理,可获得良好的功能恢复。

Objective To study the effect of basic fibroblast growth factor(bFGF) on the neuotro-phy in muscular flap.Methods 30 Wistar rats were randomly divided into experimental group and control group.We established a gastrocnemius flap model by reserving artery and vein stalk,severing the nerve innervating the muscle,then suturing with end to end neuro-anastomosis.The experimental group was in-jected with bFGF 20 u/0.1 ml through a retaining silicone tube to the basilar part of muscular flap for two weeks after operation;the...

Objective To study the effect of basic fibroblast growth factor(bFGF) on the neuotro-phy in muscular flap.Methods 30 Wistar rats were randomly divided into experimental group and control group.We established a gastrocnemius flap model by reserving artery and vein stalk,severing the nerve innervating the muscle,then suturing with end to end neuro-anastomosis.The experimental group was in-jected with bFGF 20 u/0.1 ml through a retaining silicone tube to the basilar part of muscular flap for two weeks after operation;the NS group was injected with normal saline 0.1 ml and the bFGF control group was injected with bFGF 20 u/0.1 ml to the gastrocnemius of uninjured side.After 12 weeks,the gastroc-nemius was weighted,the muscular flap and regenerative nerve were examined with light and electron mi-croscopy.Histochemical and electric physiologic changes of the muscle were also observed.Results Each parameter in the experimental group was better than that in other two groups,with statistically significant differences.But there were no significant differences between the two control groups.Conclusion The local and continuous delivery of bFGF can promote peripheral nerve regeneration and provent muscular at-rophy.

目的研究碱性成纤维细胞生长因子(basic fibroblast growth factor,bFGF)对失神经肌瓣营养的作用。方法将30只Wistar大白鼠,随机分为bFGF实验组,生理盐水对照组(对照组1)、bF-GF全身用药对照组(对照组2)。建立腓肠肌瓣模型、保留动静脉带,离断支配神经然后行端端吻合,bF-GF实验组术后从肌瓣基底留置硅管注射bFGF20 U(稀释于0.1 ml生理盐水中),同时对照组1从硅管内注入0.1 ml生理盐水,对照组2从健侧肌肉内注入等量bFGF 20 U(稀释于0.1 ml生理盐水中),每天1次,连续2周,分别于12周后行腓肠肌湿重、超微病理结构、肌瓣肌肉内神经组织化学染色检查。结果bFGF实验组各项指标明显优于生理盐水及bFGF全身用药对照组,差异有统计学意义,而生理盐水组与bFGF全身用药组比较,差异无统计学意义。结论持续增加局部bFGF浓度促进损伤神经的恢复,而加强肌肉营养防止肌萎缩。

 
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