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[愈合阶段的筋膜皮瓣生物力学特性]

[The biomechanical characteristics of the fasciocutaneous flap during healing phases].

作者信息

Li J, Chen E, Li Z

机构信息

Orthopaedic Center of PLA, Kunming General Hospital of Chengdu Military Region.

出版信息

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1997 Jul;13(4):251-4.

Abstract

Pedicled fasciocutaneous and ordinary flaps, with the ratio of length to width of 2.5:1, were elevated on the lateral side of either hind limb in 6 pigs. Postoperatively the strength at the healing site was greatly lower than that of the normal skin and much lower at the distal part of the flaps. In the fasciocutaneous flap, the strength was stronger than that of the ordinary flap at the corresponding sites. The healing strength increased with time. At the end of the fourth postoperative week, there were no obvious differences of healing strength between different sites in the fasciocutaneous flap. Yet the healing strength was still weaker at distal part in the ordinary flap. The stress-strain curves shifted to left in both flaps. There were no obvious differences between the proximal and distal sites in fasciocutaneous flap but there was difference in the ordinary flap. With good biomechanical characteristics in healing strength and flexibility, the fasciocutaneous flap is suitable for repairing soft tissue defects in complicated or special area, but attention should be paid to the limitation to ratio of the length to width.

摘要

在6只猪的任一后肢外侧掀起带蒂筋膜皮瓣和普通皮瓣,长宽比为2.5:1。术后,愈合部位的强度明显低于正常皮肤,皮瓣远端的强度更低。在筋膜皮瓣中,相应部位的强度比普通皮瓣更强。愈合强度随时间增加。术后第四周结束时,筋膜皮瓣不同部位的愈合强度无明显差异。然而,普通皮瓣远端的愈合强度仍然较弱。两个皮瓣的应力-应变曲线均向左移动。筋膜皮瓣近端和远端部位之间无明显差异,但普通皮瓣有差异。筋膜皮瓣具有良好的愈合强度和柔韧性等生物力学特性,适用于修复复杂或特殊区域的软组织缺损,但应注意长宽比的限制。

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