摘要
目的探讨胸背动脉穿支皮瓣游离移植修复面颈部大面积瘢痕的临床疗效。方法选取收治的42例面颈部大面积瘢痕患者作为研究对象,按数字表法将患者随机分为观察组21例与对照组21例,对照组采用传统背阔肌皮瓣进行治疗,观察组采用胸背动脉穿支皮瓣游离移植修复进行治疗,观察两组患者皮瓣存活率、患者对修复的满意度以及不良反应发生率。其中满意度由自我感觉、美观认定等20个项目评价,总分值100分;并采用美国Michael Reese医疗中心肩关节功能评定表对患者肩关节功能进行评定,功能评分总分25分,分值越高,活动范围越广。结果观察组患者皮瓣存活率、患者满意率均显著高于对照组,并发症发生率显著低于对照组,差异均有统计学意义(P<0.05)。两组患者肩功能评分差异无统计学意义(P>0.05)。结论游离胸背动脉穿支皮瓣具有外观良好、质地柔软、供区损伤小等优点,且手术修复操作简便,是修复面颈部大面积瘢痕的首选皮瓣之一。
Objective To investigate the clinical efficacy of thoracodorsal artery perforator flap graft to repair across a large area of the neck scar.Methods 42 large area of scar face and neck patients were randomly divided into observation group（21cases）and control group（21cases）.The control group was treated with traditional latissimus dorsi flap for treatment.The observation group was treated with thoracodorsal artery perforator free flap repair for treatment.The skin flap survival,patient satisfaction and incidence of adverse reactions were observed.The shoulder function was assessed with the standard of United States Michael Reese Medical Center.Results Flap survival rate of patients and patient satisfaction rate of observation group were significantly higher than the control group,the differences were statistically significant（P〈0.05）.The shoulder function of the two groups was was no significant difference（P〈0.05）.Conclusion The free thoracodorsal artery perforator flap has a good appearance,soft,small advantages for area damage,and surgical repair is simple for flap large scar face and neck.
出处
《西部医学》
2016年第4期487-489,共3页
Medical Journal of West China
基金
陕西省自然科学基础研究计划项目(2014JM4199)
关键词
胸背动脉穿支扩张皮瓣
移植修复
面颈部
瘢痕
Thoracodorsal artery flap
Graft to repair
Worn bronchiectasis
Faciocervical scar
