摘要
目的使用皮瓣或肌皮瓣对严重放射性溃疡进行修复的临床经验。方法对我科在2010年1月至2012年1月，采用各种皮瓣或肌皮瓣方法修复治疗的22例放射溃疡患者病例进行回顾性分析，其中使用背阔肌皮瓣4例，侧腹壁皮瓣3例，脐旁皮瓣3例，股前外侧皮瓣4例，胸大肌皮瓣6例，臀大肌皮瓣2例。结果22例患者中有2例出现了皮瓣远端局部坏死．经换药治疗后创面闭合。其他20例皮瓣全部成活，伤口一期愈合。经1～2年随访，15例患者皮瓣外观良好，质地柔软，临床溃疡无复发。结论临床采用皮瓣或者肌皮瓣治疗严重放射性溃疡．能够获得良好治疗效果，并能有效预防溃疡复发，值得推广。
Objective To investigate the method to repair severe radiation-induced ulceration and evaluate its clinical effects. Methods Twenty-two cases with severe radiation-induced ulceration treated by flaps or musculocutaneous flaps transfer in our hospital from Jan 2010 to Jan 2012 were respectively analyzed. Of 22 case, 4 cases were treated by latissimus dorsa flaps, 3 cases by lateral abdominal flap, 3 cases by paraumbilical flap, 4 cases by anterolateral femoral flaps , 6 cases by pectoralis majorflap, 2 cases by gluteus maximus muscle flap. Results 20 cases flaps survived with primary healing, 2 cases flap with partial distal necrosis. The colour and texture of the flaps were excellent, and the outline and functional results were satisfactory after 1 to 2 years follow-up. There was no ulcer recurrence. Conclusion The efficacy of cervical radiation induced ulceration by flaps and musculocutaneous flaps was proved. The reconstruction could prevent the recurrence of ulcer.
出处
《岭南现代临床外科》
2014年第3期305-308,共4页
Lingnan Modern Clinics in Surgery
关键词
放射性溃疡
皮瓣
移植
Radiation ulcer
Skin flap
Implantation
