{"title":"Clinical application of island flap with a pedicle of the descending branch of perforating branch from lateral anterior malleolus of peroneal artery in repairing midfoot and forefoot soft tissue defects","authors":"Jianzhong Qin, Zhen-hua Zhu, Jupu Zhou, Jiandong Zhou","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.006","url":null,"abstract":"Objective \u0000To explore clinical application of the island flap pedicled of the descending branch of perforating branch from lateral anterior malleolus of peroneal artery in repairing the soft tissue defects in midfoot and forefoot. \u0000 \u0000 \u0000Methods \u0000From January, 2010 to December, 2016, based on the anastomosis between the descending branch from a terminal branch of peroneal artery on the anterior aspect of the lateral malleolus and other branches located around the ankle joint and sinus tarsi, island flap with a pedicle could be harvested more distally and to be used in covering the soft tissue defects in midfoot and forefoot of 5 patients. Sizes of the flap were from 15 cm×12 cm to 8 cm×6 cm. All patients were followed-up in outpatient clinic or through WeChat. The appearance of the flaps and ankle function were recorded simultaneously. \u0000 \u0000 \u0000Results \u0000All flaps were survived without any secondary surgeries. During the follow-up of 6-15 months, the texture of flaps was good with satisfactory estheticity. Range of motion at the injured ankle was 15° in dorsi flexion and 25° in plantar flexion. \u0000 \u0000 \u0000Conclusion \u0000The flap with a pedicle of the descending branch of perforating branch from lateral anterior malleolus of peroneal artery is good enough to be used in the reconstruction of soft tissue defects in midfoot and forefoot. \u0000 \u0000 \u0000Key words: \u0000Peroneal artery; Terminal perforating branch; Island flap; Microsurgical technique","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69872161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华显微外科杂志Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.1001-2036.2020.01.027
Fanbin Gu, Xiaolin Liu
{"title":"CHEN's criteria for postoperative functional evaluation of severed limbs replantation","authors":"Fanbin Gu, Xiaolin Liu","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.027","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.027","url":null,"abstract":"As continuous progressive improvement in microsurgery, the postoperative evaluation of severed limbs replantation has been developed from the survival to the functional recovery of replanted extremity. In 1978, Chen Zhongwei devised a system for the function evaluation of the replants, considering \"the ability to work, range of motion, recovering of sensation, and recovering of muscle power\". This system was called \"CHEN’s criteria\" and it is still internationally used. In recent years, new parameters and measuring methods have been created without an agreed international standard. This article serves the purpose to offer a reference in the standardization and promotion of a practical standard for the postoperative functional evaluation of severed limb replantation. \u0000 \u0000 \u0000Key words: \u0000Severed limb replantation; Upper extremity replantation; Function evaluation; CHEN's criteria; Standard for evaluation","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42977800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华显微外科杂志Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.1001-2036.2020.01.011
Guangyao Li, Ming-qiang Xue, Jing-wei Wang, D. Liang, jie luo
{"title":"The clinical outcome of Narakas II obstetric brachial plexus palsy by neurolysis and never grafting","authors":"Guangyao Li, Ming-qiang Xue, Jing-wei Wang, D. Liang, jie luo","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.011","url":null,"abstract":"Objective \u0000To explore the efficacy of neurolysis or nerve grafting in the treatment of the conducting neuroma of Narakas II obstetric brachial plexus palsy (OBPP), and provide the reference basis for choosing an optimal method. \u0000 \u0000 \u0000Methods \u0000From January, 2009 to December, 2014, 32 patients undergoing surgical treatment due to Narakas II OBPP were included in this study. Neurolysis was performed in 15 patients, and the procedure of nerve grafting was performed in 17 patients. The general information included gender, age, birth weight, injury cause, etc. were recorded and compared to each other between 2 groups. A followed-up study had been conducting after surgery, the functional rating systems of Gilbert and Raimondi were used for quantitative comparison between preoperative function and postoperative function of shoulder joint, elbow joint and hand. In addition, the differences of the measurement data were compared with the single factor analysis of variance and paired t-test by using SPSS 22.0 statistical software. When P<0.05, it was considered statistically significant. \u0000 \u0000 \u0000Results \u0000There was no statistically significant difference in the baseline information between 2 groups (P>0.05). The average time of follow-up was 58.44 (48-96) months. And the fourth year' average score of shoulder joint, elbow joint, hand of the neurolysis group improved from preoperative (1.07±0.85) , (2.07±0.77) and (3.47±0.62) score to (3.00±0.73), (4.13±0.62) and (4.53±0.72) score (P 0.05), respectively. In addition, the proportion of the patients who needed the secondary operation about functional reconstruction in the neurolysis group and the nerve grafting group was 73.33% and 35.29% respectively, besides the proportion of the shoulder joint and elbow joint in the surgical sites accounted for 82.35%, 17.65% respectively. \u0000 \u0000 \u0000Conclusion \u0000Nerve grafting is a better choice for the treatment of conducting neuroma of Narakas II OBPP at present. \u0000 \u0000 \u0000Key words: \u0000Obstetric brachial plexus palsy; Neurolysis; Never grafting; Neuroma","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"42-46"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41942787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical application of 3 types of the medial shank island flaps","authors":"Yuxuan Zhang, Yajun Xu, Yidong Cui, Jiandong Zhou, Xingfei Zhang, Wen-Chao Wang","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.003","url":null,"abstract":"Objective \u0000To compare the application and results in repairing wounds on shank and medial malleolus by perforator pedicled middle and lower third of posterior tibial flap, saphenous neurovascular flap and posterior tibial artery perforator plus saphenous neurovascular (double blood supply) flap. \u0000 \u0000 \u0000Methods \u0000Clinical data of 60 patients with wounds on shank and medial malleolus and treated between August, 2015 and December, 2018 were analyzed. Among the patients, 25 were treated with perforator pedicled middle and lower third of posterior tibial flaps, 15 with saphenous neurovascular flaps, and 20 with double blood supply flaps. The data of surgery, survival of the flaps, texture and swelling of the flaps, patient satisfaction and scores set by American Orthopaedic Foot and Ankle Society(AOFAS) were collected. Statistic analysis was carried out to compare observations among the 3 groups. \u0000 \u0000 \u0000Results \u0000Postoperative followed-up was 6 to 24(average 13.4) months. One flap suffered insufficient blood supply in the group of perforator pedicled middle and lower third of posterior tibial flaps, 2 flaps suffersd necrosis and skin graft was carried out in reverse saphenous nerve neurocutaneous flaps group. In double blood supply flaps group, 2 flaps appeared purple after surgery, and improved after removing the pedicle sutuer, and flaps became swelling and received secondary repair. All AOFAS scores (93.8, 93.3 and 92.8, respectively) and patient satisfaction were high in all 3 groups. \u0000 \u0000 \u0000Conclusion \u0000All 3 types of flap are able to be used in repairing the soft tissue defect on shank and medial malleolus. The inclusive of saphenous nerve should be determined in intraoperation according to the presence and size of the perforator. If artery perforation is reliable, the use of posterior tibial artery perforator flap in wound repairing will deliver satisfactory outcomes in terms of blood supply and appearance of the flap. For the wider area of wound, a flap with double blood supply is preferred. \u0000 \u0000 \u0000Key words: \u0000Shank; Posterior tibial artery perforator flap; Saphenous neurovascular flap; Repair; Microsurgical technique","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49337142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华显微外科杂志Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.1001-2036.2020.01.009
Hailin Wu, J. Ju, Xin-yi Liu, Guodong Jiang
{"title":"Repairing dorsal complex tissue defect of finger with flaps based on superficial palmar branch of radial artery with palmaris longus tendon","authors":"Hailin Wu, J. Ju, Xin-yi Liu, Guodong Jiang","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.009","url":null,"abstract":"Objective \u0000To explore the clinical effects in repairing dorsal complex tissue defect of finger with the flap based on superficial palmar branch of radial artery (SPBRA) with palmaris longus tendon. \u0000 \u0000 \u0000Methods \u0000From May, 2011 to October, 2017, dorsal complex tissue defects of 15 fingers and thumbs in 15 patients were treated by the flaps which were based on SPBRA with palmaris longus tendon. There were 10 males and 5 females, in an average of 35.8 (19-51) years. All the defects (3 thumbs, 5 index, 2 middle and 5 ring fingers) were dorsal complex tissue defects and all had extensor tendon defects. The areas of soft tissue defect measured 2.0 cm×1.5 cm to 4.0 cm×2.0 cm. The lengths of tendon defect measured 2.0-4.0 cm. All patients received emergency surgery. The time before the surgery was 1.5-3.0 hours. The surgery time was 3.0-4.5 hours, 3.6 hours in an average. Postoperative regular follow-up. \u0000 \u0000 \u0000Results \u0000All of the wounds healed in stage I and all flaps survived. Texture of the flaps was soft with rosy color. No obvious swelling occurred. All the donor sites healed in stage I. The patients were followed-up for 4-18 months, 8 months in an average. The appearance and function of the repaired fingers and thumbs were satisfactory. The pain, temperature and touch sensations were good. The color of flaps was similar to the normal finger without swelling. The wear resistance of the flaps was good. Thin-line scars were in the wrist donor sites without contracture. The range of motion of active palmar flexion of the wrist was from 0° to 80° and active hyperextension was from 0° to 70°. No obvious limitation was found. \u0000 \u0000 \u0000Conclusion \u0000It is able to achieve a satisfactory clinical effects by using the flap that is based on SPBRA with palmaris longus tendon in repairing the dorsal complex tissue defect of hand. The advantages of the technique are that the donor site is concealed. The wound is small, and the flap is easy to be harvested and anastomosed. \u0000 \u0000 \u0000Key words: \u0000Superficial palmar branch of radial artery flaps; Complex tissue flaps; Palmaris longus tendons; Finger; Repair","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47468848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application of microvascular clip in treatment of vascular injuries——a report in research progress","authors":"Zhaohua Huang, Xiaohuan Zhan, Jile Fu, Junqing Gao","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.028","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.028","url":null,"abstract":"Objective \u0000Microvascular clip plays important role in microsurgery. Therefore, the development of microvascular clips and research in clamp-related vascular injuries becomes a major topic. Based on clamp-related microvascular injuries, the study investigated in 4 aspects: injury assessment, vascular characteristics and blood vessel injury, vessel repair, and development of microvascular clamp. A prospects of the current researches is also given. \u0000 \u0000 \u0000Key words: \u0000Microvascular clip; Blood vessel injury; Clamp-related injuries; Stanching; Microsurgical instruments","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"101-104"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47714306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华显微外科杂志Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.1001-2036.2020.01.007
X. Zhai
{"title":"Application of the flap pedicled with superior malleolus perforator of anterior tibial artery in reconstruction of soft tissue defects in foot and ankle","authors":"X. Zhai","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.007","url":null,"abstract":"Objective \u0000To explore the clinical effects of the flap pedicled with superior malleolus perforator of anterior tibial artery in reconstruction of the soft defects in foot and ankle. \u0000 \u0000 \u0000Methods \u0000A retrospective study was carried out to analyze 19 patients with soft tissue defects in foot and ankle. Ninteen patients, which were 11 males and 8 females and aged 21-75 (mean, 39) years, received the surgery between April, 2018 and June, 2019. According to the anatomy of superior malleolus perforating flaps and the size and shape of the soft tissue defects in foot and ankle, flaps were designed and harvested in the anterolateral side of the shank. The sizes of flaps were 6.0 cm×5.0 cm-14.0 cm ×8.0 cm. Evaluation of clinical effects included flap survival, infection control, the elasticity, color, appearance and scars of the donor sites, skin sensations and patient satisfaction. The swelling of flap was also took into an account. \u0000 \u0000 \u0000Results \u0000All 19 flaps survived after the surgery. The soft tissue defects and exposure of tendon, bone and steel plate were repaired very well. Both the donor and recipient sites healed at stage I. Duration of out-patient clinic followed-up was 2-16 months. All flaps survived very well with good shape, and the color and elasticity were very close to the nearby normal skin. Scars at donor sites were small and the functions of ankle and foot were satisfactory. \u0000 \u0000 \u0000Conclusion \u0000The flap pedicled with superior malleolus perforator of anterior tibial artery in reconstruction of the soft tissue defect in foot and ankle delivered satisfactory clinical effects. This flap has reliable perforating blood vessels hence reliable blood supply with high survival rate of flaps. It is one of the simple, safe and optimal methods to repair soft tissue defects in foot and ankle. \u0000 \u0000 \u0000Key words: \u0000Anterior tibial artery perforator flap; Superior malleolus perforator; Foot and ankle; Soft tissue defects; Repair","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"24-27"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45531586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华显微外科杂志Pub Date : 2019-12-25DOI: 10.3760/CMA.J.ISSN.1001-2036.2019.06.005
Wei Yitao, Mei Xiongjun, Wu Renjuan, Zhong Guiwu, Liang Haihua, Sun Fangqin
{"title":"Clinical study of skin grafting in small wounds with anastomotic vascular exposure: report of 16 cases","authors":"Wei Yitao, Mei Xiongjun, Wu Renjuan, Zhong Guiwu, Liang Haihua, Sun Fangqin","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.06.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.06.005","url":null,"abstract":"Objective \u0000To report the clinical effect of skin grafting in small wounds with exposed vascular anastomosis. \u0000 \u0000 \u0000Methods \u0000From January, 2011 to May, 2018, 16 small wounds with anastomotic vascular exposure were treated by full-thickness skin grafting. Of which, 4 performed after replantation, 9 after reconstruction and 3 after flap transplantation. Thirteen wounds were on hand and 3 in foot. After anastomosing the vessels, 3 arterial anastomoses, 9 venous anastomoses and 4 arterial-and-venous anastomoses were left exposure in wounds. Sizes of artery exposed in wound were 0.8 to 2.3 mm with an average of 1.0 mm. Sizes of vein exposed in wound were 0.8 to 2.5 mm with an average of 1.2 mm. The areas of soft tissue defect were 1.0 cm×1.5 cm to 2.6 cm×6.0 cm, and the areas of grafted skins were 1.0 cm×1.5 cm to 2.6 cm×6.0 cm. Grafted skin were covered without package nor pressurization. Donor areas were directly sutured. Postoperative follow-up was conducted to observe the postoperative effect. \u0000 \u0000 \u0000Results \u0000Fourteen grafted skin completely survived, one partially survived and healed after immobilization of the limb and change of dressing, and one developed necrosis. All patients were followed-up for 6-24 months (mean 14.4 months). CDU, HHD or CTA were used at the final follow-up. Vascular anastomoses were patency in 15 patients, and 1 patient had embolism developed. No pigmentation was found on the grafted skin. All grafted skin was soft and wearable with two point discrimination at 7-10 mm. The pulse of anastomotic artery could be felt on the grafted skins. Only linear scars were left in the donor sites. \u0000 \u0000 \u0000Conclusion \u0000The operation of full-thickness skin grafting in small wounds with exposed vascular anastomosis was easy to perform and with high survival rate. The effect of operation is satisfactory. The exposure of anastomosed vessels does not affect the patency of anastomotic vessels, and has considerable clinical values. \u0000 \u0000 \u0000Key words: \u0000Full-thickness skin graft; Skin grafting; Anastomotic Vascular exposed; Wound; Repairing","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"536-539"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46368496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华显微外科杂志Pub Date : 2019-12-25DOI: 10.3760/CMA.J.ISSN.1001-2036.2019.06.010
Huan-Lian Liu, Rixu Ji, Xinsheng Shen, Zuo Chen
{"title":"Salvianolic acid B promotes the survival of abdominal island flap after ischemia-reperfusion injury in rats","authors":"Huan-Lian Liu, Rixu Ji, Xinsheng Shen, Zuo Chen","doi":"10.3760/CMA.J.ISSN.1001-2036.2019.06.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2019.06.010","url":null,"abstract":"Objective \u0000To explore the therapeutic effect of salvianolic acid B (Sal B) on rat abdominal island flap after ischemia-reperfusion injury, and to explore the related mechanisms. \u0000 \u0000 \u0000Methods \u0000Fifty-four male Sprague-Dawley rats were randomly divided into 3 groups and rat lower abdomen island flap models were established: ①Sham-operated group (Sham group): non-blocking blood vessels, intraperitoneal injection of equal volume of saline as Sal B group; ②Model group: blocking blood vessels for 8 h, intraperitoneal injection of the same volume of saline as Sal B group; ③salvianolic acid B group (Sal B group): blocking blood vessels for 8 h, intraperitoneal injection of 40 mg/Kg of Sal B per day. Seven days after continuous drug administration, the survival rate of the flaps in each group was evaluated, and then the animals from each group were sacrificed for the specimens which were used for the following tests: HE staining was performed to evaluate the microvessel density (MVD), and immunohistochemistry was used to detect the level of vascular endothelial growth factor (VEGF) and superoxide dismutase 1 (SOD1). The contents of superoxide dismutase SOD and malondialdehyde (MDA) in flap tissue were tested using the corresponding kit. \u0000 \u0000 \u0000Results \u0000Seven days after flap operation, the survival rate of Sal B group flap[(65.62±13.20)%] was significantly higher than that of the model group, while HE staining showed an increase in MVD in Sal B group [(28.27±3.19)/mm2 and (15.79±6.12)/mm2, respectively]. The differences were statistically significant (P<0.05) . Moreover, immunohistochemistry demonstrated that the expression of VEGF and SOD1 obviously increased in Sal B group, and the content of SOD increased significantly. In addition, the expression of MDA decreased after Sal B treatment. The differences were statistically significant (P<0.05) . \u0000 \u0000 \u0000Conclusion \u0000Sal B is able to increase the expression of VEGF and SOD in the rat abdominal island flaps after ischemia-reperfusion injury, to reduce the content of MDA, and then to promote survival rate of rat abdominal island flap. \u0000 \u0000 \u0000Key words: \u0000Salvianolic acid B; Island flap; Angiogenesis; Oxidative stress; Rat","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"42 1","pages":"557-561"},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43147910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}