应用中下腹横形腹直肌皮瓣修复胸壁慢性放射性溃疡  

Repair for chronic radioactivity ulceration on chest wall with transverse rectus abdominis musculocutaneous flaps （TRAM）

作　　者：颜玲[1] 高建华[1] 冯传波[1] 

机构地区：[1]南方医科大学南方医院整形外科,广州510515

出　　处：《中华显微外科杂志》2010年第3期203-205,I0005,共4页Chinese Journal of Microsurgery

摘　　要：目的探讨乳癌根治术后胸部慢性放射性溃疡的特点及防治特点。方法对胸部放射溃疡并肋骨、肋软骨或胸骨外露的患者，采用中下腹部横形腹直肌肌皮瓣（TRAM）修复12例，其中单腹直肌蒂6例．单腹直肌蒂附加血管吻合双蒂皮瓣6例。结果皮瓣全部成活，皮瓣和创缘均一期愈合。随访1～4年．皮瓣色泽、质地、弹性良好。周边瘢痕性组织血运得以改善。结论TRAM皮瓣是修复胸壁放射性溃疡的理想选择，必要时可附加血管吻合形成双蒂皮瓣。Objective To study and solve the repairing and reconstruction characteristic for chronic radioactivity ulceration on chest wall. Methods Using transverse rectus abdominis musculocutaneous flaps （TRAM） to repair and reconstruct 12 cases serious chronic radioactivity ulceration after radical operation of mastocarcinoma. Including 6 eases using single pedicle TRAM flaps, 6 cases using double pedicle TRAM flaps. Results All 12 cases were applied successfully with 100% survived and were followed-up for 1 to 4 years. There were better eolour, texture, elasticity on flap and obviously improvement for cicatricial tissue round ulceration. Conclusion It is better choice for repairing chronic radioactivity ulceration on chest wall with transverse rectus abdominis museuloeutaneous flaps and it is also reliable method for flap circulation using double pedicle TRAM flaps by vascular anastomosis.

关 键 词：胸壁 放射性溃疡 移植 显微外科技术 外科皮瓣 

分 类 号：R737.9[医药卫生—肿瘤] R655[医药卫生—临床医学]