颈部高压电烧伤的修复  

Repair of high-voltage electrical burn in the neck

作　　者：黄晓元[1] 杨兴华[1] 梁鹏飞[1] 肖目张[1] 谢庭鸿[1] 胡永才[2] 罗志军[3] 

机构地区：[1]中南大学湘雅医院烧伤科,长沙410008 [2]郴州市第一人民医院烧伤科 [3]常德市第一人民医院烧伤科

出　　处：《中华烧伤杂志》2008年第1期30-32,共3页Chinese Journal of Burns

摘　　要：目的探讨颈部高压电烧伤的修复方法。方法1985年以来笔者单位共收治37例颈部高压电烧伤患者，清创后采用背阔肌肌皮瓣、斜方肌肌皮瓣，颈阔肌肌皮瓣、胸大肌肌皮瓣、背阔肌肌皮瓣联合胸大肌肌皮瓣移植修复创面。结果除3例皮瓣边缘部分坏死（坏死带宽1～2cm）外，其余皮瓣成活，移植局部外观、功能恢复满意。结论颈部高压电烧伤后，早期彻底清创并采用带蒂肌皮瓣及联合皮瓣修复是一种安全、有效、可靠的方法。Objective To explore methods of repair of high-voltage electrical burn in the neck. Methods Thirty-seven patients with high-voltage electrical burn in neck hospitalized since 1985 were enrolled in this study. After debridement, the wounds were repaired with latissimus dorsi myocutaneous flap, trapezius myocutaneous flap, platysma myocutaneous flaps, pectoralis major myocutaneous flap ,or latissimus dorsi myocutaneous flap combined with pectoralis major myocutaneous flap. Results Necrosis occurred at edge of flap （about 1 - 2 cm in breadth） in 3 patients ,and the other flaps survived well with perfect appearance and local function. Conclusion To repair with pedicled myocutaneous flaps and combined flaps after early debridement can be safe,effective and reliable in the management of patients with high-voltage electrical burn in the neck.

关 键 词：烧伤 电 颈 外科皮瓣 

分 类 号：R647[医药卫生—外科学] R979.5[医药卫生—临床医学]