摘要
目的:探讨如何有效预防胸三角皮瓣预扩张术后扩张囊移位。方法:本组患者60例,均行胸三角皮瓣预扩张术,术前设计选用合适大小的扩张器,术中注意剥离层次及范围,止血彻底,术后早期注水、适当固定。结果:60例中扩张器均扩张良好,2例出现血肿,3例注射壶外露,经及时处理后均能继续扩张,无一例出现扩张器移位,皮瓣转移后血运良好,面颈部瘢痕修复效果理想。结论:采用术前、术中、术后的综合措施预防胸三角皮瓣预扩张时扩张器下沉移位效果显著,能基本解决扩张囊移位,为二期手术打下良好的基础。
Objective To explore how to prevent the expander shifting after operation of deltopectoral flap predilatation. Methods 60 suitable cases were included in the study. Deltopectoral flaps predilatation was performed to treat these patients with suitable volume expanders, which also was needed to pay more attentions to sufficient hemostasis and disjuncting layer during the operation as well as early water flooding and appropriate immobilization after operation. Results all of 60 cases were well ectasised with complications of hematoma for 2 cases and syringe valve outerop for 3cases. After being corrected in time,all the cases were satisfactoried with the flaps well survival and faciocervical scars effectively repair after skin flaps transpositioned. Conclusion The combination of preoperative,intraoperative and postoperative intervention can effectively prevent the expander shifting after deltopectoral flap predilatation,which can be the better preparation for the second stage operation.
出处
《中国美容医学》
CAS
2010年第1期20-22,共3页
Chinese Journal of Aesthetic Medicine
关键词
胸三角皮瓣
扩张术
移位
deltopectoral flap
dilatation
shifting
