双侧颈胸跨区供血皮瓣修复颈部瘢痕挛缩  

CLINICAL USE OF BILATERAL CERVICO THORACIC SKIN FLAPS/

作　　者：朱世泽[1,2] 刘祖民 邱承志[1,2] 王朝阳 吴友谊[1,2] 黄景山 洪清瑞[1,2] 

机构地区：[1]福建医科大学附属第二医院整形外科 [2]福建晋江市东石医院

出　　处：《中国修复重建外科杂志》1997年第2期86-88,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：为了探讨跨区颈胸皮瓣修复颈部瘢痕挛缩畸形的临床效果，１９８３年～１９９５年，应用双侧颈胸跨区供血皮瓣６６个，修复颈部瘢痕挛缩畸形３３例，皮瓣面积最小５ｃｍ×６ｃｍ，最大８．５ｃｍ×１５ｃｍ。皮瓣转移后的供区用中厚皮片覆盖。术后５９个皮瓣完全成活，７个皮瓣小区域坏死，愈合后不影响功能及外形。详细介绍了双侧颈胸跨区供血皮瓣的手术方法。对该皮瓣的优点、应用解剖及术后注意事项进行了讨论。认为，在颈部瘢痕挛缩畸形修复中，应将皮肤缺损分为颏下区、颈前区、胸前区三个分区，并根据分区的特点进行修复。In order to study the clinical efficacy of bilateral cervico thoracic skin flap on repairing the contracture of the burn scar of the neck, 66 flaps were used in 33 patients from 1983 to 1995. The size of the flap ranged from 5 cm×6 cm to 8.5 cm×15 cm. The donor site was covered with split skin graft. The ratio between the length and the width of the flaps should not exceed 3∶1. Fifty nine flaps survived completely, but 7 had necrosis of small area which was healed without any influence on the function and appearance. The operative technique of the bilateral cervico thoracic skin flaps were reported. The advantages of this type of skin flap and its applied anatomy and the postoperative care were discussed. In the repair of the cicatritial contracture deformity of the neck, it was important to define whether the skin defect was located in the submandibular, anterior cervical or anterior thoracic region, thus appropriate type of repair could then be given accordingly.

关 键 词：颈胸皮瓣 颈部 瘢痕 烧伤 修复术 

分 类 号：R619.605[医药卫生—外科学] R644.06[医药卫生—临床医学]