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肱骨不连和肱骨缺损的显微外科修复 被引量:2

Repairing Humeral Non-union and Defect with Microsurgical Methods
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摘要 目的:探讨带不同血管蒂骨、骨膜瓣移位修复肱骨骨不连和骨缺损的应用价值。方法:应用以肩胛上动脉冈下支、胸肩峰动脉肩峰支、旋肱前动脉内侧降支、旋肱前动脉外侧降支、肱动脉肌间隙支、桡侧副动脉和骨间返动脉为蒂的骨、骨膜瓣移位植骨以修复肱骨不连和缺损,并总结临床应用情况。结果:施术47例取得良好疗效。结论:本组带血管蒂的骨、骨膜瓣可供修复肱骨任何部位的病损并具有操作简易和效果满意等优点。 Objective: To investigate the clinical value of bone and periosteal flaps pedicled with different original vessels for repairing humeral non-union and defect. Methods: The transferring bone or periosteal flaps pedicled with various vessels (the inferior spina branch of suprascapular artery, the acromial branch of thoracoacromial artery, the medical and lateral descending branch of anterior humeral circumflex artery, the intermuscular septum branch of humeral artery, the collateral radial-sided artery and the recurrent interosseous artery) had been clinically used to repair humeral non-union and defect in 13 years. All the outcomes were analyzed retrospectively. Results: There were 47 cases involved in this group and all patients got good results during the follow-up period. Conclusion: The bone and periosteal flaps involved in our study were applicable for repairing humeral lesions at any levels. The techniques could be operated with facility and had satisfactory effects.
出处 《武汉大学学报(医学版)》 CAS 2006年第4期498-500,共3页 Medical Journal of Wuhan University
关键词 肱骨 骨缺损 骨不连 组织瓣 Humerus Bone Defect Bone Non-union Tissue Flap
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