摘要
目的探讨胸三角皮瓣预扩张后，带蒂转移修复颈部瘢痕挛缩的治疗方法。方法据颈部瘢痕范围，采用单侧（18例）或双侧胸三角皮瓣（2例）预扩张，成人选用600—800ml扩张器，儿童选用200—450ml扩张器。瘢痕面积：8cm×5cm-12cm×13cm。单侧胸三角皮瓣的面积最小9cm×16cm，最大12cm×18cm，供区均直接拉拢缝合。切口均选择在锁骨下，根据修复面积设计皮瓣，同时要兼顾断蒂时修复剩余瘢痕所需皮瓣的面积。皮瓣转移3周后行延迟术，4周断蒂修复剩余的颈部瘢痕。结果2007至2009年采用扩张后胸三角皮瓣修复20例颈部瘢痕挛缩，仅1例皮瓣扩张不充分，但未影响手术效果，余皮瓣术后均成活，效果满意。6例6个月后复诊，1例患者切口瘢痕明显，5例效果良好。结论扩张后胸三角皮瓣是修复颈部大面积瘢痕的较好方法。
Objective To investigate the application of expanded deltopeetoral flaps for treatment of cervical eicatricial eontraeture. Methods The cervical eieatricial contracture was corrected in 18 cases with unilateral expanded dehopectoral flaps and 2 cases with bilateral expanded deltopeetoral flaps. The size of sear ranged from 8 cm× 5 cm to 12 cm × 13 cm. The size of the unilateral expanded dehopectoral flaps ranged from 9 cm× 16 cm to 12 cm ×18 cm. The defects in donor sites were closed directly. The infraclavicula incision was designed. The flaps were delayed 3 weeks after flap transfer. The pediele was cut off 4 weeks later. Results From 2007 to 2009, 20 cases with cervical cieatrieial eontraeture were treated with expanded deltopectoral flaps. All the flaps were survived. 6 cases were followed up for 6 months with satisfactory results in 5 cases and conspicuous scar in 1 case. Conclusions Expanded dehopectoral flap is very suitable for large size of cervical cicatricial contracture.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2010年第1期21-23,共3页
Chinese Journal of Plastic Surgery
关键词
外科皮瓣
软组织扩张术
瘢痕
Surgical flaps
Soft tissue expansion
Cicatrix
