| 面部常见穿支皮瓣血管解剖及其临床应用 |
| 投稿时间：2016-01-23 修订日期：2016-01-29 点此下载全文 |
| 引用本文：黄久佐,龙笑,俞楠泽,王阳,王晓军,赵茹,白明.面部常见穿支皮瓣血管解剖及其临床应用[J].医学研究杂志,2016,45(6):138-141 |
| DOI：
10.11969/j.issn.1673-548X.2016.06.035 |
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| 中文摘要:目的 探讨以面部知名血管为解剖基础的各类穿支皮瓣在面部缺损修复中的应用。方法 2004年1月～2012年1月各类面部缺损患者52例，将其缺损区域根据大小、解剖位置等进行分类，应用面部知名血管为基础的带蒂穿支皮瓣修复缺损区。结果 1例患者出现皮瓣部分坏死，经换药后好转。1例发生皮瓣静脉淤血，经抗凝等对症治疗后缓解。其余患者随访3个月～1年，皮瓣成活良好，术后形态满意。结论 应用面部知名血管为蒂的穿支皮瓣可以修复多种类型的面部缺损，其供区畸形较小，供区组织与受区颜色及质地接近，可获得满意的临床效果。 |
| 中文关键词:面部缺损 穿支皮瓣 |
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| Anatomy and Clinical Application of Common Facial Perforator Flaps |
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| Abstract:Objective To evaluate the application of pedicled facial artery perforator flaps in repairing various adjacent defects. Methods Totally 52 patients with different types of facial defect were repaired with different anonymous perforator flaps from January 2004 to January 2012. Results One patient suffered partial flap loss and healed secondarily. Another patient suffered venous congestion and was resolved by conservative treatments. All the other patients recovered smoothly without complications. Conclusion Pedicled facial artery perforator flaps could easily be applied to reconstruct various adjacent defects with similar color and skin texture and satisfied clinical results. |
| keywords:Facial defect Perforator flap |
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