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用多脚的前侧大腿进行手部重建
Trần Thiết Sơn1,2,3, Phan Tuấn Nghĩa1,3, Phạm Thị Việt Dung1,3
1Department of Plastic and Reconstructive Surgery, Hanoi Medical University, Hanoi, Viet Nam.
Journal of hand and microsurgery
|September 2, 2025
概括
多脚前侧 (ALT) 板对于复杂的手部重建非常有效. 这项研究显示了高存率和患者满意度, 证明了它们在处理复杂的手部缺陷方面的多功能性.
科学领域:
- 微手术
- 整形外科
- 手的重建
背景情况:
- 复杂的手部缺陷带来了重大的重建挑战.
- 前侧大腿 (ALT) 是重建性微手术中的一个多功能选择.
- 解剖学变异允许多脚ALT来处理复杂的伤害.
研究的目的:
- 在复杂的手部重建中评估多脚前侧 (ALT) 的有效性.
- 评估的生存,功能和美学结果.
- 分析影响这种重建技术成功的因素.
主要方法:
- 对116名用ALT片治疗手部病变的患者进行了回顾性分析.
- 专注于20名患有复杂缺陷的患者,使用多脚 (脂肪皮或结合脂肪皮和皮 (FL) ).
- 记录了片稀释的过程和结果.
主要成果:
- 整体存率为97. 5%.
- 多脚,包括具有两个皮肤岛或结合皮肤和FL组件的,对多单元手部重建有效.
- 患者对功能和美学结果的满意度很高.
结论:
- 多脚ALT是复杂手部重建的可靠有效方法.
- 这种技术提供了卓越的功能和美学成果.
- 成功的重建取决于穿孔器的选择,片的组成,稀释方法和量身定制的片设计.
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