应用巨型扩张的斜方肌肌皮瓣修复儿童颈部重度瘢痕挛缩畸形  

Treatment of scar contracture abnormality on the neck of the children with huge trapezius muscle flap expanded

作　　者：郑行跃 薛志强 王佳琦 宋业光 

机构地区：[1]中国医学科学院整形外科医院南三病房,北京100041

出　　处：《中华整形外科杂志》2007年第3期196-198,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨一种安全而有效地修复儿童颈部重度瘢痕挛缩畸形的手术方法。方法将以颈横动脉主干及降支为蒂的扩张斜方肌肌皮瓣转移至颈部，修复儿童颈部瘢痕挛缩畸形，背部供区直接拉拢缝合。结果临床应用于10例患儿，1例患儿由于二期手术肌皮瓣超长转移达颈部对侧耳下，术后肌皮瓣远端部分坏死，其余9例挛缩畸形矫正较为彻底，获得满意效果。结论在保证肌皮瓣血供的基础上，本肌皮瓣适宜修复儿童颈部重度瘢痕挛缩畸形。Objective To seek a kind of safe and effective method to treat scar contracture abnormality on the neck of the children. Methods We take the trunk line of transverse cervical artery as the vessel pedicle, and shift huge trapezius muscle flap expanded to the neck in order to treat scar contracture abnormality on the neck of the children. Results Clinically, we applied this method to treat ten children who suffered from contracture abnormality on the neck, and not only provide enough skin soft tissue （the length may be beyond the midline） to treat the abnormality, but also make the flap alive, obtain the satisfying postoperative effect. Condusious Based on the warranty of the flap blood supply, this flap is very suitable to treat scar contracture abnormality on the neck of the children.

关 键 词：瘢痕 斜方肌肌皮瓣 颈横动脉 

分 类 号：R686[医药卫生—骨科学]