胸廓内动脉前穿支岛状瓣修复面颈部创面  

PERFORANCE BRANCHES OF INTERNAL THORACIC ARTERY ISLAND SKIN FLAP IN REPAIRING CERVICOFICIAL DEFECTS

作　　者：孙要文[1] 陈秦吉[1] 张振信[1] 杨旅军[1] 周治理[1] 刘晓军[1] 

机构地区：[1]陕西省人民医院烧伤整形科,西安710068

出　　处：《中国美容医学》1999年第3期179-180,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的：针对面颈部烧伤常系及前胸无法运用局部皮瓣转移术,而另作选择修复创面。方法：依胸三角区解剖特点结合临床经验,采用胸廓内动脉第二、三前穿支岛状辩转移结合辞下滴注bFGF进行修复治疗21例。结果：18例全部成活,面颈部修复效果良好,2例部分坏死,1例全部坏死。结论：采用胸廓内动脉前穿支岛状辩修复面颈部创伤,减少了前胸部瘢痕对皮瓣选择的限制;bFGF促进血管新生,改善创面微循环,提高了皮瓣成活率。To construct rational operative method to repair the defect afer scar ectorry in situation cevicofacial bum with chest scar encumbring flap's selection. Method: Acording to deltoPectoral anatomy and medieal experiment. we applied the 2nd and 3rd Perforance branches of internal thoracic artery island skin nap translation and administered bFGF beneath flap to treat 21 patients with cervicoface and chest burned. Result: of the 21 flaps, 18 completely survived and effect fine, 2 necrosed partially and 1 died totally.Conclusion: Perforance branches of internal thoracic altery island skin flap to repair cervicofacial defects, reduce the limitation of flap's selection being of chest scar; bFGF can advance vascullar regeneration, improve microcirculation, develop flap's survival rate.

关 键 词：岛状皮瓣 瘢痕 胸廓内动脉 面颈部创面 

分 类 号：R782.405[医药卫生—口腔医学] R622.1[医药卫生—临床医学]