下斜方肌肌皮瓣在邻近深度电烧伤创面修复中的临床应用  

Clinical applicafion of inferior trapezius myocutaneous flap for repair of adjacent wounds after deep electrical burn

作　　者：胡德林[1] 余又新[1] 王春华[1] 赵浩东[1] 童飞[1] 方林森[1] 

机构地区：[1]安徽医科大学第一附属医院烧伤科,合肥230022

出　　处：《安徽医学》2011年第10期1667-1669,共3页Anhui Medical Journal

摘　　要：目的探讨应用下斜方肌肌皮瓣修复邻近深度电烧伤创面的方法和效果。方法 5例严重肩背部、头部电烧伤患者,电烧伤创面扩创后应用下斜方肌肌皮瓣转移覆盖创面,观察肌皮瓣成活情况及其治疗效果。结果 5例严重深度电烧伤患者斜方肌肌皮瓣全部成活,创面得以修复,外形及功能恢复满意;皮瓣外观不臃肿,肩背部供瓣区平整。结论下斜方肌肌皮瓣血运可靠,手术切取简便安全,皮瓣蒂较长,旋转弧度大,是修复头颈及肩背部深度电烧伤创面的可靠方法。Objective To explore the methods and effects of repair of adjacent wounds with inferior trapezius myocutaneous flap after deep electrical burn.Methods 5 patients with deep electrical burn were hospitalized to our ward.They were repaired with inferior trapezius myocutaneous flaps after debridement.Results AIl the flaps survived completely.Figure and function of all cases were satisfactorv.The flaps which survived were not swollen,the donor sites at scapular region looked normal without pterygoid or pendulous scapula deformities.Conclusion Inferior trapezius myocutaneous flap has reliable blood supply and longer pedical,could be operated conveniently and safely.It is an ideal method to repair adjacent wounds after deep electrical burn.

关 键 词：电烧伤 下斜方肌肌皮瓣 创面 修复 

分 类 号：R647[医药卫生—外科学]