一个简化的分类和经济的应用前侧大腿
1Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 19, 2023
概括
这项研究引入了前侧 (ALT) 片的新分类,证明保存近端穿孔器可以减少并发症和重建时间. 这种方法保持了高的片成功率,改善了ALT片重建患者的治疗结果.
科学领域:
- 微手术 微手术是一种微手术.
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 前侧大腿 (ALT) 板是用于重建的多功能.
- 解剖学变化和ALT的临床应用需要精细的分类.
- 简化了分类和经济的应用策略.
研究的目的:
- 引入基于血管解剖学的ALT片的简化分类系统.
- 评估该分类的临床应用和结果.
- 评估在ALT收获过程中保存近端穿孔器的好处.
主要方法:
- 对168个ALT重建的综述 (2013年1月 - 2016年12月).
- 根据穿孔器的起源和数量,ALT血管解剖学被分为5种类型.
- 用近端穿孔器保存采集的片与传统方法的比较.
主要成果:
- 最常见的是IV型 (50.0%) 和V型 (32.1%) 的片.
- 接近穿孔器保存ALT片的尺寸更小,重建时间更短,捐赠部位并发症更少.
- 护成功率在保存和传统组之间是可比的 (96.5%对96.4%).
结论:
- 在ALT片中的多个穿孔器使得从相同的捐赠部位收集两个片的超时采集成为可能.
- 拟议的分类和应用策略提高了外科手术的效率.
- 这种方法有效地减少了在ALT重建中供体部位的发病率.
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