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背阔肌皮瓣修复头颈部肿瘤切除后组织缺损的探讨 被引量:1

Latissimus dorsi flap for reconstruction of head-neck defect caused by surgical removal of tumor
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摘要 目的 应用背阔肌皮瓣一期修复头颈部肿瘤切除术后的组织缺损 2 3例。方法 采用带蒂的背阔肌皮瓣。结果 肌皮瓣一期愈合 2 1例 ,边缘部分坏死 2例 ,其中 1例供区伤口延期愈合。结论 该肌皮瓣可以克服单纯局部皮瓣应用的局限性 ,成活率高。是一种修复头颈肿瘤术后组织缺损的理想皮瓣。 Objective Utilising the latissimus dorsi flap (LDF) to reconstruct head-neck defect resulted from surgical removal of head-neck tumor.Methods In twenty-three patients with head-neck cancer undergoing surgical removal of the tumor, pedicled LDFs were routinally prepared.Results Of the 23 cases underwent LDF reconstruction. First-stage healing of the LDF was found in twenty-one cases, partial necrosis of to LDF was found separatedly in the other two cases. A second-stage healing of the donor sites were also found in one patient.Conclusion The utilization of LDF for reconstration of head-neck defect showed a highly survival rate and to be a good flap for head-neck reconstraction.
作者 凌月福
出处 《广西医学》 CAS 2004年第6期803-804,共2页 Guangxi Medical Journal
关键词 皮瓣 背阔肌 手术 肿瘤 缺损 Flap Latissimus dorsi Operation Tumor Defect
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