【作者】 张祖根； 张美心； 田晓滨； 邱冰； 李波； 陈阳； 李作勇；

【Author】 ZHANG Zu-gen,ZHANG Meixin,TIAN Xiao-bin,QIU Bing,LI Bo,et al.The People Hospital of Guizhou(Guizhou Guiyang,550002)

【机构】 贵州省人民医院；

【摘要】 目的介绍我院1981年8月～2009年12月采用吻合血管的游离腓骨移植术修复四肢长骨干骨缺损53例的手术治疗方法。方法带血管蒂的游离腓骨移植至受区时,其动脉吻合采用动脉双口吻合法或叫"T"形嵌入端端吻合法;在带血管蒂的游离腓骨取材入路上作了简化。结果经随访6个月至5年,平均2.5年,经X线摄片检查,术后移植骨临床愈合时间为2～5个月,平均3.5个月。肢体功能基本恢复正常。结论带血管蒂的游离腓骨移植是修复四肢长骨长段骨缺损的有效方法;在血管吻合时采用动脉"T"形嵌入端端吻合法,该法既保证移植骨的血供,又使受区供血动脉原供区血液供应不受影响,在带血管蒂的腓骨取材上,本术式入路操作简便。更多还原

【Abstract】 Objective To review 53 cases of bone defect in long bone of the limbs treated with vascular pedicled free fibular graft and vascular anastomosis from 1981.8 to 2009.12.Methods When free fibula with vessel pedicle was grafted to recipient region,arterial anastomosis was performed by arterial anastomosis or end-to-end anastomosis with"T"shape insert.Results The follow-up period ranged from 6 months to 5 years,with an average of 2.5 years.The clinical union during of grafted bones ranged from 2 to 5 months,with an average of 3.5 months.The limb function nearly recovered to normal.Conclusion Grafting of fibula with vascular pedicle is an effective method to repair bone defect in long bone of the limb.End-to-end anastomosis with"T"shape insert during vascular anastomosis ensures blood supply of grafted bone,and there are no side effects on blood supply of origin blood circulation.The operation is simple and the graft material is ready to be procured.更多还原