胸大肌肌皮瓣移位修复面颌颈胸部难治性创面  

THE APPLICATION OF TRANSPOSITION OF PECTORALIS MAJOR MUSCLE OR MYOCUTANEOUS FLAP IN THE REPAIR OF LONG STANDING WOUND OVER THE MANDIBULO CERVICO THORACIC AREA

作　　者：马春旭[1] 沈祖尧[1] 王乃佐[1] 沈余明[1] 宓惠茹[1] 

机构地区：[1]北京积水潭医院烧伤科

出　　处：《中国修复重建外科杂志》1997年第2期89-90,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：面颌颈及胸部各种原因所致的深度创面，一期修复均较为困难。１９８９年１１月～１９９６年４月，采用胸大肌肌皮瓣或胸大肌岛状肌瓣移位修复１１例，其中肌皮瓣８例，肌瓣３例，面积１２ｃｍ×８ｃｍ～２６ｃｍ×１８ｃｍ。术后创面Ⅰ期愈合１０例，１例创面轻度感染，换药治愈。详细介绍了手术方法和手术要点，讨论了胸大肌肌皮瓣移位对此类创面修复的优越性。The pectoralis major muscle or myocutaneous flap is characterized by its easy dissection and free rotation, as well as abundance of blood supply and tissue mass of the flap, so that it was often used in repairing the wound over the mandibulo cervico thoracic area. From 1989 to 1996, 11 cases with long standing wound of this area were difficult to repair with the traditional method, but were treated with transposition of this type of myocutaneous flap. The myocutaneous flap was applied in 8 case and muscle flap in 3 case. The flap area ranged from 12 cm ×8 cm to 26 cm×18 cm. All the flaps survived, and excellent results were achieved. The technique and design of the operation were reported in details. It was concluded that the process was easy to perform, and the flap had abundant blood supply and high resistance to infection.

关 键 词：胸大肌 肌皮瓣 面颌颈胸部 修复 创面 

分 类 号：R622.1[医药卫生—整形外科]